Changes in Hearing Threshold and Tinnitus Severity after Stapes Surgery: Which Is More Important to the Patient's Quality of Life?
Adult
Aged
Aged, 80 and over
Audiometry, Pure-Tone
Auditory Threshold
/ physiology
Female
Follow-Up Studies
Hearing Loss, Conductive
/ complications
Humans
Male
Middle Aged
Otosclerosis
/ complications
Prospective Studies
Quality of Life
Severity of Illness Index
Stapes Surgery
Surveys and Questionnaires
Tinnitus
/ complications
Treatment Outcome
Young Adult
Hearing
Otosclerosis
Quality of life
Stapes surgery
Tinnitus
Journal
ORL; journal for oto-rhino-laryngology and its related specialties
ISSN: 1423-0275
Titre abrégé: ORL J Otorhinolaryngol Relat Spec
Pays: Switzerland
ID NLM: 0334721
Informations de publication
Date de publication:
Historique:
received:
20
12
2018
accepted:
15
05
2019
pubmed:
18
7
2019
medline:
6
5
2020
entrez:
18
7
2019
Statut:
ppublish
Résumé
Stapes surgery is a common method of treatment of otosclerosis, and its effectiveness is reported based on audiometric hearing thresholds. Audiometric tests do not gauge the impact of tinnitus severity and auditory function on quality of life (QOL) after stapes surgery. To measure self-assessed QOL in otosclerosis patients after stapedotomy in terms of three major factors: change in audiometric hearing threshold, subjective hearing benefit, and tinnitus severity. This prospective clinical study included 191 patients who underwent stapedotomy between April and October 2017 due to otosclerosis. All patients were tested by pure tone audiometry and filled in a questionnaire before surgery and 6 months afterwards. Subjective hearing was assessed with the Abbreviated Profile for Hearing Aid Benefit (APHAB); tinnitus severity was established using the Tinnitus Functional Index (TFI), and the QOL was measured by the Glasgow Benefit Inventory (GBI). Statistical analysis showed that the average GBI total score (mean = 33.7; SD = 23.7) was statistically significantly higher than zero (t = 19.7; p < 0.001). Based on a regression model, all the three variables studied - audiometric hearing thresholds change, APHAB change, and TFI change - had a significant effect on QOL after stapedotomy. Interestingly, the highest beta value (b = 0.040; p < 0.001) was for TFI change, implying that TFI change had the greatest effect on QOL. Although the improvement of QOL after stapes surgery undoubtedly depended on improvement in both audiometric and self-reported hearing, the reduction of tinnitus severity had the greatest impact on increase in QOL.
Sections du résumé
BACKGROUND
BACKGROUND
Stapes surgery is a common method of treatment of otosclerosis, and its effectiveness is reported based on audiometric hearing thresholds. Audiometric tests do not gauge the impact of tinnitus severity and auditory function on quality of life (QOL) after stapes surgery.
OBJECTIVE
OBJECTIVE
To measure self-assessed QOL in otosclerosis patients after stapedotomy in terms of three major factors: change in audiometric hearing threshold, subjective hearing benefit, and tinnitus severity.
METHOD
METHODS
This prospective clinical study included 191 patients who underwent stapedotomy between April and October 2017 due to otosclerosis. All patients were tested by pure tone audiometry and filled in a questionnaire before surgery and 6 months afterwards. Subjective hearing was assessed with the Abbreviated Profile for Hearing Aid Benefit (APHAB); tinnitus severity was established using the Tinnitus Functional Index (TFI), and the QOL was measured by the Glasgow Benefit Inventory (GBI).
RESULTS
RESULTS
Statistical analysis showed that the average GBI total score (mean = 33.7; SD = 23.7) was statistically significantly higher than zero (t = 19.7; p < 0.001). Based on a regression model, all the three variables studied - audiometric hearing thresholds change, APHAB change, and TFI change - had a significant effect on QOL after stapedotomy. Interestingly, the highest beta value (b = 0.040; p < 0.001) was for TFI change, implying that TFI change had the greatest effect on QOL.
CONCLUSION
CONCLUSIONS
Although the improvement of QOL after stapes surgery undoubtedly depended on improvement in both audiometric and self-reported hearing, the reduction of tinnitus severity had the greatest impact on increase in QOL.
Identifiants
pubmed: 31315120
pii: 000500992
doi: 10.1159/000500992
doi:
Types de publication
Clinical Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
224-233Informations de copyright
© 2019 S. Karger AG, Basel.