Quality of life after revision mastoidectomy with mastoid obliteration

IF 0.9 Q3 OTORHINOLARYNGOLOGY
Vito Pontillo, Sabino Ciprelli, Rossella Grillo, Nicola Quaranta
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引用次数: 0

Abstract

Aims

To evaluate the postoperative quality of life (QoL) after revision canal wall down mastoidectomy with mastoid obliteration (rCWD).

Material and methods

A retrospective analysis was conducted on patients treated by rCWD for cholesteatoma between 2016 and 2019. A control group including all patients treated by primary canal wall down with mastoid obliteration (pCWD) for cholesteatoma between 2009 and 2014 was used for the comparison of the postoperative QoL, assessed by the COMQ-12.

Results

The rCWD and pCWD groups respectively counted 38 and 78 patients with an average follow-up of 30 and 62 months respectively. No significant difference was found in terms of QoL between the two groups. An intra-group analysis among rCWD patients, showed that patients treated by canal wall down (CWD) at the primary surgery had a significantly worse post-revision QoL compared to those initially treated by canal wall up (CWU), specifically in the hearing and balance domains of the questionnaire.

Conclusions

Revision mastoid obliteration leads to similar QoL results to those obtained after primary CWD with obliteration. Patients who had undergone a CWD as primary surgery complain worse hearing and balance problems compared to those primarily submitted to CWU, even after revision surgery.

改良乳突切除术合并乳突闭塞术后的生活质量
目的评估乳突管壁下乳突切除术后的生活质量。材料和方法对2016年至2019年期间接受rCWD治疗的胆脂瘤患者进行回顾性分析。对照组包括2009年至2014年间因胆脂瘤接受乳腺切除术(pCWD)治疗的所有患者,用于比较术后生活质量,通过COMQ-12进行评估。两组患者的生活质量无显著差异。一项针对rCWD患者的组内分析显示,与最初接受管壁抬高(CWU)治疗的患者相比,在初次手术时接受管壁压低(CWD)治疗的病人在翻修后生活质量明显较差,特别是在问卷的听力和平衡领域。结论乳腺切除术后的生活质量与原发性CWD后的结果相似。与最初接受CWU治疗的患者相比,在初次手术中接受CWD治疗的患者抱怨听力和平衡问题更糟,即使在翻修手术后也是如此。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.40
自引率
20.00%
发文量
44
审稿时长
44 days
期刊介绍: Es la revista más importante en español dedicada a la especialidad. Ofrece progresos científicos y técnicos tanto a nivel de originales como de casos clínicos. Además, es la Publicación Oficial de la Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial y está presente en los más prestigiosos índices de referencia.
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