Abstract
Purpose
To assess the postoperative quality of life (QoL) of patients operated on for chronic otitis media (COM) and cholesteatoma by endoscopic approach, with respect to disease-specific complaints and psychological distress, using two validated questionnaires: Chronic Ear Survey (CES) and Depression Anxiety Stress Scale-21 (DASS-21).
Methods
Eighty-five consecutive patients operated on for cholesteatoma and COM by endoscopic tympanoplasty from March 2018 to February 2020 filled in CES and DASS-21, within one month prior to surgery. A second administration of each questionnaire was performed at the yearly postoperative evaluation. A multivariate analysis using a linear regression model was performed to evaluate the role of the different variables associated with the questionnaires’ subscales and overall scores.
Results
A significant improvement was achieved in all CES and DASS-21 subscales after endoscopic tympanoplasty. No patient showed a DASS-21 score compatible with a psychological distress both at the pre- and postoperative assessments. At multivariate analysis, the only significant factors associated with postoperative improvement in CES scores were preoperative DASS-21 “depression” score and months of follow-up.
Conclusion
Endoscopic tympanoplasty shows significantly improved QoL as assessed by disease-specific and psycho-emotional questionnaires. A subjective favourable effect of fully endoscopic ear surgery was demonstrated.
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Data availability
the data that support the findings of this study are available from the corresponding author upon reasonable request.
Code availability
Not available.
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DL: conceived the presented idea, wrote the manuscript, verified the analytical methods, supervised the work, final approval of the submitted version. MR: conceived the presented idea, wrote the manuscript, patients’ enrollment, verified the analytical methods, supervised the work, final approval of the submitted version. MF: conceived the presented idea, verified the analytical methods, final approval of the submitted version. EB: conceived the presented idea, patients’ enrollment, verified the analytical methods, final approval of the submitted version. MB: conceived the presented idea, verified the analytical methods, final approval of the submitted version. IJ Fernandez: conceived the presented idea, statistical analysis, verified the analytical methods, supervised the work, final approval of the submitted version. LP: conceived the presented idea, verified the analytical methods, critical revision of the manuscript, final approval of the submitted version. MA-C: conceived the presented idea, wrote the manuscript, verified the analytical methods, critical revision of the manuscript, final approval of the submitted version.
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Lucidi, D., Reale, M., Fermi, M. et al. Disease-specific quality of life and psychological distress after endoscopic tympanoplasty. Eur Arch Otorhinolaryngol 279, 191–198 (2022). https://doi.org/10.1007/s00405-021-06670-3
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DOI: https://doi.org/10.1007/s00405-021-06670-3