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- Title
The influence of stapedotomy on the quality of life of otosclerosis patients.
- Authors
Skarżyński H.; Dziendziel B.; Gos E.; Skarżyński P. H.
- Abstract
Objectives: To measure self-assessed quality of life (QOL) in adult patients with otosclerosis after stapedotomy in terms of three major factors: change in audiometric hearing threshold, subjective hearing benefit, and tinnitus severity. Material: The study included a group of 191 adult patients who underwent stapedotomy in World Hearing Centre between April and October 2017 due to otosclerosis. Methods: Pure-tone audiometry (at 125-8,000 Hz) was conducted in the preoperative period and at 6-month follow-up. The pure tone average (PTA4) for air conduction (AC) and bone conduction (BC) was determined at 500, 1,000, 2,000, and 4,000 Hz. All patients filled a questionnaire before surgery and 6 months afterwards. Subjective hearing was assessed with the Abbreviated Profile for Hearing Aid Benefit (APHAB); tinnitus severity was established using the Tinnitus Functional Index (TFI), and the QOL was measured by the Glasgow Benefit Inventory (GBI). Results: Statistical analysis showed that the average GBI total score (mean=33.7; SD=23.7) was statistically significantly higher than zero (t=19.7; p<0.001). Based on a regression model, all the three variables studied - audiometric hearing thresholds change, APHAB change, and TFI change - had a significant effect on QOL after stapedotomy. Interestingly, the highest beta value (b=0.040; p<0.001) was for TFI change, implying that TFI change had the greatest effect on QOL. Conclusions: Stapes surgery provided a significant improvement in QOL reported by majority otosclerosis patients. For patients suffering from hearing loss and tinnitus severity in the course of otosclerosis, postoperative reduction of both ailments had a beneficial effect on the quality of life.
- Subjects
POLAND; EAR surgery; SELF-evaluation; CONFERENCES &; conventions; QUALITY of life; OTOSCLEROSIS; AUDIOMETRY; HEARING disorders
- Publication
Journal of Hearing Science, 2022, Vol 12, Issue 1, p197
- ISSN
2083-389X
- Publication type
Article