Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2022; 101(S 02): S249
DOI: 10.1055/s-0042-1746722
Poster
Otology / Neurootology / Audiology

Postoperative changes of partial aspects of quality of life after retrosigmoidal vestibular schwannoma removal

Authors

  • Julia Kristin

    1   Uniklinik Düsseldorf, Hals-Nasen-Ohrenklinik Düsseldorf

  • Lotte Duvenbeck

    1   Uniklinik Düsseldorf, Hals-Nasen-Ohrenklinik Düsseldorf

  • Ralf Schäfer

    2   Uniklinik Düsseldorf, Klinisches Institut für psychosomatische Medizin und Psychotherapie Düsseldorf

  • JanFrederick Cornelius

    3   Uniklinik Düsseldorf, Klinik für Neurochirurgie Düsseldorf

  • Joerg Schipper

    1   Uniklinik Düsseldorf, Hals-Nasen-Ohrenklinik Düsseldorf
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Introduction Health-related quality of life (HRQOL) is gaining importance in counseling patients with vestibular schwannomas. The aim of our prospective study is to investigate whether sub-aspects of quality of life change between outpatient contact to immediately postoperatively.

Material and Methods The prospective study includes n=23 patients (m=10, w=13) at outpatient presentation and n=35 postoperative patients (m=18, w=17) with completed PANQOL questionnaire. All vestibular schwannomas (Koos I-IV, I:2x, II:17x, III:12x, IV:4x) underwent interdisciplinary (ENT/neurosurgery) surgery via a retrosigmoidal approach between 02/2019 and 10/2021.

RESULT: After accounting for the "minimal clinically important difference", there is a clinically relevant improvement in the "anxiety" domain (median: 75.00/100 vs. 81.25/100 post-op) and a clinically relevant worsening of HRQOL in the "general health" domain (median: 75.00/100 vs. 62.5/100 post-op). There was no relevant change in overall HRQOL during the course. The median PANQOL total score is 73.21/100 (47.92/100–90.48/100) at outpatient presentation and 74.70/100 (36.61/100–95.83/100) immediately postoperatively.

Conclusion and Outlook All patients diagnosed with vestibular schwannoma show decreased quality of life. In partial aspects of HRQOL, surgical therapy shows a clinically relevant change. The individual patient complaints reducing the quality of life have to be identified and treated.


Conflict of Interest

The author declares that there is no conflict of interest.

Publication History

Article published online:
24 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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