Quality of life in vestibular schwannoma: a comparison of three surgical techniques

Lucidi, Daniela; Fabbris, Cristoforo; Cerullo, Raffaele; Gioia, Stefano Di; Calvaruso, Federico; Monzani, Daniele; Alicandri‐Ciufelli, Matteo; Marchioni, Daniele; Presutti, Livio

doi:10.1007/s00405-021-06855-w

Cited by 13 publications

(13 citation statements)

References 29 publications

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“…The PANQOL is a disease-specific tool that has been increasingly used over the years to evaluate the QoL of VS patients and has been translated and validated in several languages including Italian [ 6 ]. In the present study, the Italian version of the PANQOL questionnaire presented high Cronbach’s alpha, as has also been reported by other authors in different languages [ 5 , 12 , 13 , 14 , 15 ], confirming its good reliability as a specific tool for analyzing the quality of life of VS patients.…”

Section: Discussionmentioning

confidence: 99%

“…The Italian version of the PANQOL questionnaire was used [ 6 ]. PANQOL comprises 26 multiple-choice questions that focus on the following areas: balance (six items), energy (six items), hearing (four items), anxiety (four items), face (three items), general health (two items) and pain (one item).…”

Section: Methodsmentioning

confidence: 99%

“…The Penn Acoustic Neuroma Quality of Life Questionnaire (PANQOL) is a disease-specific tool proposed by Shaffer et al [ 5 ] that measures the QoL of VS patients, evaluating the effect of the tumor and of the treatment in six specific domains: balance, energy, hearing, anxiety, face, general health and pain. Lucidi et al [ 6 ] have recently adapted the questionnaire in Italian and have evaluated the QoL of VS patients treated with three surgical techniques. The aim of the present study was to evaluate the QoL by means of the PANQOL questionnaire in a group of surgically treated patients mainly affected by large and giant VS; in addition, the internal consistency and reliability of the Italian PANQOL questionnaire and factors that may predict patients’ QoL were evaluated.…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Impact of Pontocerebellar Angle Surgery on the Quality of Life in Patients with Vestibular Schwannoma

et al. 2022

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Background: Vestibular Schwannomas are benign tumors arising from the VIII CN. Surgical treatment is indicated in case of tumors larger than 2.5 cm in the cerebellopontine angle or in the case of cranial nerve dysfunction. The aim of the present study was to evaluate the QoL by means of the PANQOL questionnaire in a group of surgically treated patients mainly affected by large and giant VS Methods: All patients underwent preoperative and postoperative otoneurological evaluation and gadolinium enhanced MRI and they completed, independently, the PANQOL questionnaire at last follow up. Results: 70% of patients presented with large Koos III or IV VS Each domain of PANQOL showed a strong correlation with the total PANQOL score. In relation to the postoperative facial nerve function, patients with poorer function showed significantly lower score in the facial dysfunction and pain, patients with postoperative balance problems showed a significantly lower PANQOL score for domains of balance and pain. Conclusions: This study showed that postoperative QoL of patients was acceptable even if there were some domains that were more affected, such as hearing and balance domains; therefore, the lowest scores suggest the need for vestibular rehabilitation programs and strategies that improve postoperative hearing.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Postoperative Impact of Pontocerebellar Angle Surgery on the Quality of Life in Patients with Vestibular Schwannoma

et al. 2022

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“…Otherwise, this case series presented several limitations, primarily the nonassessment of the self-perceived benefit of quality of life and auditory function. While its validation in the Italian language by our group is in press, a disease-specific index for quality-of-life assessment in VS patients exists and was already used [ 27 ]. A plethora of instruments assessing self-perceived speech perception, hearing disability and hearing quality are available.…”

Section: Discussionmentioning

confidence: 99%

Cochlear Implantation Following Transcanal Infrapromontorial Approach for Vestibular Schwannoma: A Case Series

et al. 2022

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Background: Cochlear implantation (CI) following endoscopic transcanal infrapromontorial vestibular schwannoma (VS) dissection is a feasible intervention in intracanalicular VS, with minimal extension into the cerebellopontine angle, but no audiologic results have ever been reported in the literature. Methods: From 2015 to 2021 in the Otorhynolaryngology Departments of Modena and Verona, three patients underwent this intervention. All were suffering from sporadic left-sided intracanalicular Koos I VS. Intraoperative electrically evoked auditory brainstem responses and electrophysiological measurements were performed before and after the placement of the electrode array, respectively. Since device activation one month after the surgery, each patient was followed up with audiometric tests, data logging, electrode impedance measurements and neural response telemetry performed at each scheduled fitting session at 15 days and 3, 6, 12 and 24 months. Results: Only in patient No. 3, an auditory benefit was observed and still evident even 36 months after activation. Impedances increased progressively in patient No. 1 and a benefit was never reported. Patient No. 2 left the follow-up for worsening comorbidities. Conclusions: CI following transcanal infrapromontorial VS resection is a beneficial intervention. The residual cochlear nerve after the tumour dissection and the course of electrophysiological measurements in the postoperative period were the main predictive factors for audiological outcomes.

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“…Increasing interest in quality of life (QoL) measurements arose in VS treatment in the past decade [ 7 , 8 ]. Several reports indicated that surgical intervention for VS has a significant impact on social functioning.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Personalized Management of Vestibular Schwannoma: A Systematic Review

Sergi

Settimi

Federici

et al. 2022

JPM

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Management of vestibular schwannoma (VS) is a complex process aimed at identifying a clinical indication for fractionated stereotactic radiotherapy (sRT) or microsurgical resection or wait and scan (WS). The aim of the review was to clarify which patient and tumor parameters may lead to different therapeutic choices, with a view to a personalized VS approach. A systematic review according to Preferred Reporting Items for Systematic Review and Meta-Analysis criteria was conducted between February and March 2022. The authors defined six parameters that seemed to influence decision-making in VS management: 1-incidental VS; 2-tumor size; 3-tumor regrowth after sRT; 4-subtotal resection; 5-patients’ age; 6-symptoms. The initial search yielded 3532 articles, and finally, 812 articles were included. Through a qualitative synthesis of the included studies, management strategies were evaluated and discussed. An individualized proposal of procedures is preferable as compared to a single gold-standard approach in VS decision-making. The most significant factors that need to be considered when dealing with a VS diagnosis are age, tumor size and hearing preservation issues.

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Quality of life in vestibular schwannoma: a comparison of three surgical techniques

Cited by 13 publications

References 29 publications

Postoperative Impact of Pontocerebellar Angle Surgery on the Quality of Life in Patients with Vestibular Schwannoma

Postoperative Impact of Pontocerebellar Angle Surgery on the Quality of Life in Patients with Vestibular Schwannoma

Cochlear Implantation Following Transcanal Infrapromontorial Approach for Vestibular Schwannoma: A Case Series

Factors Influencing Personalized Management of Vestibular Schwannoma: A Systematic Review

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