Effect of Type I Tympanoplasty on the Quality of Life of Children

Habesoglu, Tulay Erden; Habeşoğlu, Mehmet; Deveci, İldem; Külekçi, Semra; Kalaycık, Çiğdem; Gökçeer, Tanju; Egeli, Erol

doi:10.1177/000348941112000508

Cited by 12 publications

(8 citation statements)

References 15 publications

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“…In our study, 82 % (37/45) patients had an intact graft 6 months after surgery whereas in the study by Habesoglu et al [11] 80.3 % of the patients (45/56) had an intact graft after the same time which is almost similar. Surgical success was defined as an intact graft after 6 months with an audiological improvement of 15 dB in air-bone gap in their study.…”

Section: Discussionsupporting

confidence: 66%

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Bhatia

Vaid

Taneja

2016

Indian J Otolaryngol Head Neck Surg

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Chronic suppurative otitis media (CSOM) continues to be an important public health problem despite significant advances in medical science. Ear discharge, pain, discomfort, difficulty in hearing, limitation of routine activities and emotional problems due to CSOM cause a significant impact on the health and general well being of the patient. We have done Type 1 tympanoplasty in tubotympanic type of COM to reconstruct the tympanic membrane and alleviate the symptoms of the patients. This study presents an analysis of the impact of the surgery on the patient subjectively and its correlation with objective outcomes. 45 patients were selected to fill the chronic otitis media-5 (COM-5) questionnaire and underwent pure tone audiometry preoperatively. All the patients underwent Type 1 tympanoplasty by using temporalis fascia graft. The status of the ossicles was checked and documented intraoperatively. Patients requiring ossicular reconstruction or with attico antral disease were excluded. Patients were followed up for a period of 6 months and those with an intact graft after 6 months were included in the study. These patients were again made to fill the questionnaire and undergo pure tone audiometry postoperatively. 37 out of 45 patients (82 %) had an intact graft 6 months after surgery. Marked improvement was observed in subjective scores as documented by the questionnaire, pre-and postoperatively with the mean improvement in total scores being 7.89 ± 4.81 on a Visual Analogue Scale. Also significant improvement was achieved in closure of air-bone gap with the mean improvement being 14.73 ± 8.58 dB. Significant correlation was found between subjective and objective scores in most patients. This study showed that Type 1 tympanoplasty brings about a significant improvement in the quality of life of chronic suppurative otitis media patients. Most patients showed a marked improvement in subjective scores which correlated well with the objective findings of the status of the graft and improvement in air-bone gap. Asymptomatic patients with less preoperative scores showed less improvement in subjective scores which did not correlate with the objective outcomes.

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Section: Discussionsupporting

confidence: 66%

Effect of Type 1 Tympanoplasty on the Quality of Life of CSOM Patients

Bhatia

Vaid

Taneja

2016

Indian J Otolaryngol Head Neck Surg

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“…A large number of questionnaires were identified related to the conditions of otitis media, 4 – 14 hearing loss, 15 – 18 obstructive sleep apnoea, 19 – 30 voice disorders, 31 , 32 and sore throat and tonsillitis 33 – 38 . A number of other questionnaires were infrequently described, related to other specific otolaryngology conditions (Table I).…”

Section: Resultsmentioning

confidence: 99%

“…A specific chronic suppurative otitis media tool was also identified, the Chronic Otitis Media-5 ('COM-5') survey. 13,14 For hearing loss, more frequently generic quality of life (QoL) measures were used. However, diseasespecific tools were also described; these included the adolescent-completed Hearing Environments and Reflection on Quality of Life ('HEAR-QL') questionnaire, 15 the Youth Quality of Life Instrument -Deaf and Hard of Hearing ('YQOL-DHH') module, 16 and the caregiver-reported Paediatric Hearing Impairment Caregiver Experience ('PHICE') questionnaire.…”

Section: Discussionmentioning

confidence: 99%

“…This is emphasised in the otolaryngology literature from the extensive number of tools used for certain conditions; for example, otitis media. [4][5][6][7][8][9][10][11][12][13][14] When assessing a patient-reported outcome measure, it is crucial to review the six key areas of: validity, test-retest reliability, precision, responsiveness, acceptance and response rate, and feasibility. [1][2][3] Regarding validity, one should consider whether the patient-reported outcome measure assesses what it is supposed to.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of patient-reported outcome measures in paediatric otolaryngology

Powell

Robson

2017

J. Laryngol. Otol.

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Background:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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“…Factors commonly associated with otologic surgery outcome in the pediatric patient are directly related to cranial dimensions of the child and adequate function of the middle ear [1,2], which directly depends on the eustachian tube (ET) and is even further compromised if the patient has any craniofacial malformation such as cleft lip and palate (CLP) [3], or syndromic disorders such as trisomy 21 [4], just to mention some examples [5].…”

Section: Introductionmentioning

confidence: 99%