Quality of life of patients following stages III–IV vestibular schwannoma surgery using the retrosigmoid and translabyrinthine approaches

Rameh, Charbel; Magnan, Jacques

doi:10.1016/j.anl.2010.01.004

Cited by 32 publications

(24 citation statements)

References 18 publications

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“…In general, the risk for hearing deterioration after surgery lies between 30 and 50%, depending on the series; local control is reported to be between 80 and 98% [3,10,11,[30][31][32]. RT has the strong benefit of being a non-invasive treatment, where mortality rates, even if after surgery commonly below 2 percent, may be omitted [3,7,[30][31][32][33][34]. Additionally, prolonged recovery times after brain surgery can be avoided, and patients are rarely unable to follow their normal life during and after treatment.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome after highly advanced single-dose or fractionated radiotherapy in patients with vestibular schwannomas – Pooled results from 3 large German centers

Combs

Engelhard

Kopp

et al. 2015

Radiotherapy and Oncology

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Section: Discussionmentioning

confidence: 99%

Long-term outcome after highly advanced single-dose or fractionated radiotherapy in patients with vestibular schwannomas – Pooled results from 3 large German centers

Combs

Engelhard

Kopp

et al. 2015

Radiotherapy and Oncology

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“…While some authors suggest that facial paresis has a significant bearing on postoperative QOL, 4,17,22 others found no difference in QOL between patients with and without facial nerve dysfunction, or between those with different grades of facial nerve function. 15,16,25 Schwartz et al 28 have noted no significant difference in QOL between patients with good versus poor facial nerve function. They proposed that since patients with poor facial nerve function had larger tumors, they may have been more able to reconcile their facial weakness, without perceiving it as a major QOL problem.…”

Section: Facial Functionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7]14,18,21,23,27,28,31 Few studies have reported QOL following surgery for large VS, but even those have mostly been retrospective in nature. 22,25 One of the major deficiencies in QOL studies on VS patients is the lack of a planned prospective comparison between QOL values before and after treatment in large cohorts of patients. 10,11 The few published prospective studies involved patients with small VSs (< 3 cm).…”

mentioning

confidence: 99%

Quality of life following surgery for large and giant vestibular schwannomas: a prospective study

Turel¹,

Thakar²,

Rajshekhar³

2015

JNS

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A discrepAncy between surgeon-assessed and patient-perceived outcomes of vestibular schwannoma (VS) surgery has been reported. 16,19,22 Hence, there is a need for greater emphasis on quality of life (QOL) outcomes (which are patient reported) following surgery for VS. Most of the QOL studies in patients undergoing surgery for VS are retrospective and include patients with small tumors. [1][2][3][4][5][6][7]14,18,21,23,27,28,31 Few studies have reported QOL following surgery for large VS, but even those have mostly been retrospective in nature. 22,25One of the major deficiencies in QOL studies on VS patients is the lack of a planned prospective comparison between QOL values before and after treatment in large cohorts of patients. 10,11 The few published prospective studies involved patients with small VSs (< 3 cm). 20,24,26 To our knowledge there is only one prospective report of QOL in patients with larger tumors (> 3 cm), and that study involved 37 patients. 8None of the reports of QOL in patients with VS have included the proportion of patients showing a minimum clinically important difference (MCID) in the different QOL domains. Surgeons need to know whether an observed change in score represents a clinically important improvement or deterioration rather than merely an inconsequential fluctuation. Differences in scores smaller than the MCID are considered unimportant, regardless of whether statistical significance is reached. To date, such information has not been provided in any published report on QOL in VS patients.We aimed to study the factors affecting QOL in pa- OBJect Prospective studies of quality of life (QOL) are infrequently performed in patients undergoing surgery for vestibular schwannoma (VS). The authors designed this to study to investigate health-related QOL (HR-QOL) in patients with large and giant VSs before and after surgery. methOdS Between January 2009 and December 2012, HR-QOL was measured prospectively before and after surgery, using the 36-Item Short Form Health Survey (SF-36), in 100 patients who underwent surgery for unilateral large or giant VS (tumor size ≥ 3 cm). The Glasgow Benefit Inventory (GBI) was also used to evaluate the effect of surgery. reSultS A total of 100 patients were included in the study (65 men and 35 women). Their mean age (± SD) was 44.2 ± 11.5 years. The preoperative QOL was decreased in all SF-36 domains. A 1-year follow-up evaluation was conducted for all patients (mean 13.5 ± 5.3 months after surgery). The results showed an improvement in HR-QOL compared with preoperative status in all cases, with 63%-85% of patients showing a minimum clinically important difference (MCID) in various domains. A second follow-up evaluation was performed in 51 cases (mean time after surgery, 29.0 ± 8.3 months) and showed sustained improvement in SF-36 scores. In some domains there was further improvement beyond the first follow-up. On the GBI, 87% of patients reported improvement, 1% felt no change, and 12% of patients reported deterioration. cONcluSiONS Patients harboring l...

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“…So stellte eine Reihe von Untersuchern übereinstimmend fest, dass im Gegensatz zur bis dahin herrschenden Überzeugung der Verlust des Gehörs auf einem Ohr bei zuvor bilateral hörenden AN-Patienten eine schwere Beeinträchtigung darstellt, welche sich deutlich negativ auf die LQ auswirkt [59,81]. Hingegen wirkt sich eine reduzierte Fazialisfunktion (wiederum im Gegensatz zur bislang herrschenden Meinung) deutlich geringer auf die LQ aus [59].…”

Section: Aspekte Der Lebensqualitätunclassified

“…Hingegen wirkt sich eine reduzierte Fazialisfunktion (wiederum im Gegensatz zur bislang herrschenden Meinung) deutlich geringer auf die LQ aus [59]. Tinnitus beeinträchtigt die LQ bei 2/3 der Patienten prä-und postoperativ nicht oder nur gering [59]. In Pollocks prospektiver Studie ließen sich keine posttherapeutischen Unterschiede bezüglich Tinnitus oder Kopfschmerzen zwischen Op.…”

Section: Aspekte Der Lebensqualitätunclassified

Wertigkeit unterschiedlicher Methoden zur Behandlung von Akustikusneurinomen

Maier

Grauvogel

Laszig

et al. 2011

HNO

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Treatment strategies for vestibular schwannoma have been extended and become more differentiated. An analysis of the international literature with the help of a PubMed search shows that otological and neurosurgical procedures as well as radiation therapies do not only compete but also complement each other. Standardized protocols for the classification of hearing, facial nerve function and quality of life enable a better comparison of functional results. Recent publications discuss - in addition to the standard of preserving facial nerve function and hearing - aspects of vestibular function as well as quality of life, especially in long-term follow up. In addition to effective tumour control, major focus is put on minimizing morbidity. The choice of therapy in patients with neurofibromatosis 2 and recurrent tumours is particularly challenging. The complex topic requires a profound knowledge of differential therapeutic aspects from consulting and treating physicians. Therefore, the individual treatment recommendation should be given in a specialized center.

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Quality of life of patients following stages III–IV vestibular schwannoma surgery using the retrosigmoid and translabyrinthine approaches

Cited by 32 publications

References 18 publications

Long-term outcome after highly advanced single-dose or fractionated radiotherapy in patients with vestibular schwannomas – Pooled results from 3 large German centers

Long-term outcome after highly advanced single-dose or fractionated radiotherapy in patients with vestibular schwannomas – Pooled results from 3 large German centers

Quality of life following surgery for large and giant vestibular schwannomas: a prospective study

Wertigkeit unterschiedlicher Methoden zur Behandlung von Akustikusneurinomen

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