Otologic Surgery Improved Quality of Life of the Patients: A Multicenter Study in Japan.
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Hosoya Makoto, Ganaha Akira, Yoshimura Hidekane, Morita Yuka, Takahashi Kuniyuki, Yamagishi Tatsuya, Matsumoto Nozomu, Fujita Takeshi, Miuchi Shinya, Akai Ryo, Shirai Kyoko, Kashio Akinori, Doi Katsumi, Ohira Noriko, Ito Tsukasa, Goto Takanari, Takahashi Masahiro, Takahashi Mariko, Takahashi Masahiro, Komori Manabu, Honkura Yohei, Hiraumi Harukazu, Ayani Yusuke, Okada Masahiro, Yamamoto Norio, Tona Yosuke, Ikezono Tetsuo, Usami Shin-Ichi, Haginomori Shin-Ichi, Nakagawa Takashi, Oishi Naoki, Tono Tetsuya, Kakehata Seiji, Kojima Hiromi, Kanzaki Sho
Аннотация
STUDY DESIGN: Case-control study.
SETTING: A multicenter study involving 21 hospitals in Japan.
PATIENTS: We enrolled 199 patients with cholesteatoma, 137 patients with chronic otitis media, 72 patients with otosclerosis, 126 patients before cochlear implantations, 12 patients with middle ear malformation, and 27 patients with other otologic diseases.
INTERVENTIONS: We compared the impairment in patients' quality of life between different otologic diseases and examined the effects of surgical intervention using generic and disease-specific quality-of-life questionnaires.
MAIN OUTCOME MEASURES: Improvement of the quality of life of the patients measured with general or disease-specific questionnaires.
RESULTS: Our results revealed that the patients' preoperative quality of life was lower than that of the control group. Patients who underwent cochlear implantation had a significantly lower quality of life compared with other groups. The results also revealed that surgical intervention could improve postoperative quality of life. In addition, the study revealed the characteristic features of changes in the quality of life in each otologic disease group.
CONCLUSIONS: These findings will be useful for patients when deciding on surgical intervention. It would also benefit otologic surgeons when explaining surgical indications or recommending surgical interventions.