Quality of Life After Pediatric Tympanomastoidectomy.

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY Annals of Otology Rhinology and Laryngology Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI:10.1177/00034894241286980
Benjamin D Lovin, Aaron C Nguyen, Nathan R Lindquist, Duc Nguyen, Rodrigo Silva, Alex D Sweeney
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Abstract

Objectives: To assess quality of life (QOL) outcomes after canal wall up (CWU) and canal wall down (CWD) tympanomastoidectomy in the pediatric population.

Methods: A retrospective review tabulated pediatric patients undergoing CWU and CWD tympanomastoidectomy for cholesteatoma by 2 senior surgeons at a single tertiary academic referral center between March 2017 and March 2023. Chronic Ear Survey (CES) and cosmetic survey outcomes were collected post-operatively.

Results: A total of 77 ears in 75 patients were identified, with 35 undergoing CWU and 42 undergoing CWD as the most recent (index) otologic surgery. Seventeen patients (23%) participated in the survey. Of this cohort, the mean age was 14.6 years, 12 (71%) were male, and 10 (59%) had CWD as the most recent otologic surgery. The mean time from index surgery to survey completion was 3.4 years (range, 0.1-6.7 years). Regarding QOL outcomes, there were no statistically significant differences in total CES score, CES subscores, and cosmetic survey scores between groups when categorizing by gender or index surgery. Total CES, symptom subscale, medical resource subscale, and cosmetic survey scores showed a tendency to decrease with an increasing number of surgeries (R = -.18, -.28, -.53, and -.56, respectively). Pediatric total CES scores appeared comparable to those reported in the published adult literature.

Conclusions: It does not appear that there are worse QOL outcomes for pediatric patients who undergo CWD tympanomastoidectomy compared to those who undergo CWU tympanomastoidectomy. There appears to be no difference in QOL outcomes between pediatric and adult patients undergoing tympanomastoidectomy.

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小儿鼓室切除术后的生活质量
目的:评估鼓室壁向上(CWU)和鼓室壁向下(CWD)切除术后儿童的生活质量(QOL):评估儿科鼓室壁向上(CWU)和鼓室壁向下(CWD)切除术后的生活质量(QOL):2017年3月至2023年3月期间,一家三级学术转诊中心的2名资深外科医生对因胆脂瘤而接受CWU和CWD鼓室成形术的儿科患者进行了回顾性审查。术后收集了慢性耳部调查(CES)和美容调查的结果:共确定了 75 名患者的 77 只耳朵,其中 35 只接受了 CWU 手术,42 只接受了 CWD 作为最近(指数)的耳科手术。17名患者(23%)参与了调查。在这批患者中,平均年龄为 14.6 岁,12 人(71%)为男性,10 人(59%)的最近一次耳科手术为 CWD。从接受手术到完成调查的平均时间为 3.4 年(0.1-6.7 年)。在 QOL 结果方面,按性别或指数手术分类,各组间的 CES 总分、CES 子量表和美容调查得分均无统计学差异。随着手术次数的增加,CES总分、症状分量表、医疗资源分量表和美容调查得分呈下降趋势(R分别为-.18、-.28、-.53和-.56)。小儿CES总分与已发表的成人文献中的分数相当:结论:与接受 CWU 鼓膜乳突切除术的儿童患者相比,接受 CWD 鼓膜乳突切除术的儿童患者的 QOL 结果似乎并不差。接受鼓膜乳突切除术的儿童患者和成人患者的 QOL 结果似乎没有差异。
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来源期刊
CiteScore
3.10
自引率
7.10%
发文量
171
审稿时长
4-8 weeks
期刊介绍: The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.
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