Abstract
PurposeThe aim of the study was to investigate the change in health-related quality of life (HRQoL) after canal wall up cholesteatoma surgery, using the Glasgow Benefit Inventory (GBI).MethodsData from a consecutive group of 47 adults scheduled for primary cholesteatoma surgery using canal wall up (CWU) with obliteration, from January 2005 to December 2009, were analysed. Information was extracted from a medical database, and complementary data from patient files and audiograms were collected and recorded retrospectively. The GBI questionnaire was used for the assessment of HRQoL after surgery.ResultsThere was no finding of residual or recurrent cholesteatomas in the study group. Hearing was improved at 1 and 3 years postoperatively. No patient suffered a total hearing loss. The overall GBI scores showed an improved HRQoL after surgery. Twenty-nine (85%) patients benefitted from surgery, 1 (3%) had no change, and 4 (12%) expressed deterioration.ConclusionsCholesteatoma surgery using CWU with obliteration gives an improved HRQoL for the majority of patients. The GBI questionnaire provides complementary information to hearing and healing results after cholesteatoma surgery.
Highlights
Cholesteatomas are benign bone destructive expansions of stratified squamous epithelium in the temporal bone, which are classified into congenital or acquired [1]
Cholesteatoma surgery using canal wall up (CWU) with obliteration was performed as described in our previous study [15]
In comparison to the study by Maile et al [14], the present study shows Glasgow Benefit Inventory (GBI) scores that are much lower
Summary
Cholesteatomas are benign bone destructive expansions of stratified squamous epithelium in the temporal bone, which are classified into congenital or acquired [1]. European Archives of Oto-Rhino-Laryngology (2020) 277:61–68 ease of being single administered, and it has gained widespread popularity since reported by Robinson et al [12]. A systematic review of the literature was conducted on the reported use of the GBI, with available data for tonsillectomy, cochlear and middle ear implantation in patients with vestibular schwannoma, and stapes surgery [12]. Besides Robinson et al [13], according to our knowledge, there is only one previous study reporting cholesteatoma surgical outcomes by means of the GBI [14]. By using the GBI, Maile et al [14] showed improved HRQoL among 31 Nepali patients after middle ear and/or mastoid surgery to eradicate cholesteatoma. The surgical method used or surgical outcome in terms of healing and hearing results was not reported [14]
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