Quality of life after vestibular schwannoma surgery: does hearing preservation make a difference?

The Journal of Laryngology and Otology
A P IyerH Sillars

Abstract

Surgery for vestibular schwannoma may reduce patients' quality of life, but the effect of hearing preservation on this process is not fully understood. Our aim was to determine whether hearing preservation makes a difference to patients' quality of life in this clinical setting. Retrospective questionnaire and cross-sectional survey. The study included 104 consecutive patients who had undergone surgery for vestibular schwannoma between 1998 and 2004. Surgery was via a middle cranial fossa route in 24 patients and a translabyrinthine route in 79. Quality of life was assessed using the SF-36 questionnaire and the Glasgow Benefit Inventory. Quality of life was reduced in both patient groups, with a mean Glasgow Benefit Inventory score of -7.5 (confidence interval (CI) -13 to -2.5) in the translabyrinthine patients and -4 (confidence interval -13.5 to 5.5) in the middle fossa patients. The SF-36 scores did not show any statistically significant difference between the two groups, except for social function (p = 0.01). Surgery for vestibular schwannoma reduces patients' quality of life, and the preservation of hearing, achieved by using a middle fossa surgical approach, does not significantly alter this result.

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Aug 2, 2011·Journal of Neurosurgery·Jens RachingerChristian Strauss
Sep 26, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Matthias ScheichRudolf Hagen
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Jan 10, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Efstathios Papatsoutsos, Patrick M Spielmann

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