Disease-specific quality of life and psychological distress after endoscopic tympanoplasty

Abstract

Purpose

To assess the postoperative quality of life (QoL) of patients operated on for chronic otitis media (COM) and cholesteatoma by endoscopic approach, with respect to disease-specific complaints and psychological distress, using two validated questionnaires: Chronic Ear Survey (CES) and Depression Anxiety Stress Scale-21 (DASS-21).

Methods

Eighty-five consecutive patients operated on for cholesteatoma and COM by endoscopic tympanoplasty from March 2018 to February 2020 filled in CES and DASS-21, within one month prior to surgery. A second administration of each questionnaire was performed at the yearly postoperative evaluation. A multivariate analysis using a linear regression model was performed to evaluate the role of the different variables associated with the questionnaires’ subscales and overall scores.

Results

A significant improvement was achieved in all CES and DASS-21 subscales after endoscopic tympanoplasty. No patient showed a DASS-21 score compatible with a psychological distress both at the pre- and postoperative assessments. At multivariate analysis, the only significant factors associated with postoperative improvement in CES scores were preoperative DASS-21 “depression” score and months of follow-up.

Conclusion

Endoscopic tympanoplasty shows significantly improved QoL as assessed by disease-specific and psycho-emotional questionnaires. A subjective favourable effect of fully endoscopic ear surgery was demonstrated.

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Data availability

the data that support the findings of this study are available from the corresponding author upon reasonable request.

Code availability

Not available.

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Funding

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Affiliations

Authors

Contributions

DL: conceived the presented idea, wrote the manuscript, verified the analytical methods, supervised the work, final approval of the submitted version. MR: conceived the presented idea, wrote the manuscript, patients’ enrollment, verified the analytical methods, supervised the work, final approval of the submitted version. MF: conceived the presented idea, verified the analytical methods, final approval of the submitted version. EB: conceived the presented idea, patients’ enrollment, verified the analytical methods, final approval of the submitted version. MB: conceived the presented idea, verified the analytical methods, final approval of the submitted version. IJ Fernandez: conceived the presented idea, statistical analysis, verified the analytical methods, supervised the work, final approval of the submitted version. LP: conceived the presented idea, verified the analytical methods, critical revision of the manuscript, final approval of the submitted version. MA-C: conceived the presented idea, wrote the manuscript, verified the analytical methods, critical revision of the manuscript, final approval of the submitted version.

Corresponding author

Correspondence to Marella Reale.

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All the authors declare no conflicts of interest.

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Comitato Etico AVEN, ID 0019114/19.

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All patients received appropriate and comprehensible information about the surgical procedures and tests and gave their written consent.

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Lucidi, D., Reale, M., Fermi, M. et al. Disease-specific quality of life and psychological distress after endoscopic tympanoplasty. Eur Arch Otorhinolaryngol (2021). https://doi.org/10.1007/s00405-021-06670-3

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Keywords

  • Quality of life
  • Chronic ear survey
  • Depression anxiety stress scale
  • Tympanoplasty
  • Cholesteatoma
  • Endoscopic ear surgery