Tinnitus following treatment for sporadic Acoustic neuroma

Overdevest, Jonathan B.; Pross, Seth E.; Cheung, Steven W.

doi:10.1002/lary.25672

Cited by 12 publications

(8 citation statements)

References 21 publications

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“…Retrospective data evaluating tinnitus in those presenting with VS have reported conflicting outcomes: intervention improves subjective tinnitus regardless of treatment modality, or tinnitus outcomes are independent of treatment modality. 17,18 Regarding dizziness or imbalance, previous studies have demonstrated that dizziness is a primary driver of well-being among patients with VS. Currently, several retrospective studies suggest that a subset of patients who present with dizziness may experience improvement following microsurgical resection.…”

Section: Discussionmentioning

confidence: 99%

Impact of Treatment on Vestibular Schwannoma–Associated Symptoms: A Prospective Study Comparing Treatment Modalities

Barnes¹,

Patel

Lohse

et al. 2021

Otolaryngol.--head neck surg.

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Objective The degree to which various treatment modalities modify vestibular schwannoma (VS)–associated symptoms has received limited attention. The purpose of this study was to determine how different treatment modalities affect subjective symptoms in those presenting with VS. Study Design Prospective survey. Setting Tertiary neurotology referral center. Methods Patients with sporadic VS who received treatment at our institution were prospectively surveyed with a VS symptom questionnaire. Those who completed a baseline survey prior to treatment and at least 1 posttreatment survey were included. The prospective survey evaluated the severity of self-reported symptoms (Likert scale, 1-10), including tinnitus, dizziness or imbalance, headaches, and hearing loss. Results A total of 244 patients were included (mean age, 57 years). The mean duration of follow-up was 2.1 years, and the median number of surveys completed was 2 (interquartile range, 1-3). Seventy-eight (32%) cases were managed with observation, 118 (48%) with microsurgery, and 48 (20%) with radiosurgery. Multivariable analyses revealed no statistically significant difference in the change in tinnitus ( P = .15), dizziness or imbalance ( P = 0.66), or headaches ( P = .24) among treatment groups. Evaluation of clinically important differences demonstrated that microsurgery leads to significant bidirectional changes in headaches. Conclusions Limited prospective data exist regarding the progression or resolution of subjective symptoms in those presenting with VS. This study suggests that tinnitus, dizziness or imbalance, and headaches are unlikely to be significantly modified by treatment modality and generally should not be used to direct treatment choice.

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Section: Discussionmentioning

confidence: 99%

Impact of Treatment on Vestibular Schwannoma–Associated Symptoms: A Prospective Study Comparing Treatment Modalities

Barnes¹,

Patel

Lohse

et al. 2021

Otolaryngol.--head neck surg.

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“…All measurements were assessed by a senior radiologist and were checked by a senior otolaryngologist. For the tumor size criteria, we referred to the 2012 Acoustic Neuroma Association membership survey and divided the tumors into three groups by size: ≤1.5 cm, 1.6–2.5 cm and ≥2.6 cm 24 .…”

Section: Methodsmentioning

confidence: 99%

Changes in tinnitus after vestibular schwannoma surgery

Wang

Feng

Wang

et al. 2019

Sci Rep

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We designed a prospective study to evaluate changes in tinnitus after vestibular schwannoma (VS) surgery. Subjects included 41 patients who were diagnosed with a VS and underwent translabyrinthine microsurgery (TLM) between January 2015 and May 2016. All patients underwent related examinations and were asked to answer the Tinnitus Handicap Inventory (THI) scale and a visual analog scale (VAS) of tinnitus severity both pre- and postoperatively. Of the 41 patients, 31 (75.6%) suffered from tinnitus before surgery. Microsurgery was associated with an overall decrease in tinnitus (p < 0.001). There was a significant improvement in THI and VAS scores after surgery (p = 0.001 and p = 0.005, respectively). The decrease in THI scores in the low-frequency group was significantly larger than that of the mid- and high-frequency groups after surgery (p = 0.034 and p = 0.001, respectively). The loudness of tinnitus decreased significantly after surgery (p = 0.031). Tinnitus in patients with VS improved after TLM. Patients with mid-/high-frequency tinnitus and louder tinnitus preoperatively seemed to have a worse prognosis than those with low-frequency and quieter tinnitus.

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“…In addition, this questionnaire may be used by clinicians and researchers to classify patients according to tinnitus severity. Nevertheless, our goal was to provide to Polish ENT centers a tool which enables the evaluation of the effectiveness of applied treatments (see, e.g., Krings et al, 2014; Folmer et al, 2015; Overdevest et al, 2015; Roland et al, 2015; Wilson et al, 2015; Fackrell et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Polish Translation and Validation of the Tinnitus Handicap Inventory and the Tinnitus Functional Index

Wrzosek

Szymiec

Klemens³

et al. 2016

Front. Psychol.

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Objective: The need for validated measures enabling clinicians to classify tinnitus patients according to the severity of tinnitus and screen the progress of therapies in our country led us to translate into Polish and to validate two tinnitus questionnaires, namely the Tinnitus Handicap Inventory (THI) and the Tinnitus Functional Index (TFI).Design: The original English versions of the questionnaires were translated into Polish and translated back to English by three independent translators. These versions were then finalized by the authors into a Polish THI (THI-Pl) and a Polish TFI (TFI-Pl). Participants from three laryngological centers in Poland anonymously answered the THI-Pl (N = 98) and the TFI-Pl (N = 108) in addition to the Polish versions of the Center for Epidemiologic Studies Depression Scale as a measure of self-perceived level of depression, and the Satisfaction With Life Scale to assess self-perceived quality of life. Both were used to determine discriminant validity. Two Visual Analog Scales were used to measure tinnitus annoyance and tinnitus loudness in order to determine convergent validity.Results: Similar to the original version of the THI, the THI-Pl showed a high internal consistency (Cronbach’s α = 0.93). The exploratory factor analysis revealed that the questionnaire has a three-factorial structure that does not correspond to the original division for functional, catastrophic, and emotional subscales. Convergent and discriminant validities were confirmed. The TFI-Pl showed high internal consistency (Cronbach’s α = 0.96) with the reliability ranging from 0.82 to 0.95 for its different subscales. Factor analysis confirmed an eight-factorial structure with factors assigning all items to appropriate subscales reported in the original version of the questionnaire. Discriminant and convergent validities were also confirmed for the TFI-Pl.Conclusion: We translated and validated the Polish versions of the THI and the TFI to make them suitable for clinical use in Poland.

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Tinnitus following treatment for sporadic Acoustic neuroma

Abstract: NA Laryngoscope, 126:1639-1643, 2016.

Cited by 12 publications

References 21 publications

Impact of Treatment on Vestibular Schwannoma–Associated Symptoms: A Prospective Study Comparing Treatment Modalities

Impact of Treatment on Vestibular Schwannoma–Associated Symptoms: A Prospective Study Comparing Treatment Modalities

Changes in tinnitus after vestibular schwannoma surgery

Polish Translation and Validation of the Tinnitus Handicap Inventory and the Tinnitus Functional Index

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