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Comparison of quality of life outcomes following different mastoid surgery techniques

Published online by Cambridge University Press:  28 August 2015

J Joseph ,
A Miles ,
S Ifeacho ,
N Patel ,
A Shaida ,
D Gatland ,
G Watters  and
E Kiverniti
J Joseph*
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
A Miles
Affiliation:
Department of Psychological Sciences, Birkbeck, University of London, UK
S Ifeacho
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
N Patel
Affiliation:
Department of ENT, Whipps Cross Hospital, Barts Health NHS Trust, London, UK
A Shaida
Affiliation:
Department of ENT, Royal National Throat, Nose and Ear Hospital, London, UK
D Gatland
Affiliation:
Department of ENT, Southend Hospital NHS Trust, Westcliff-on-Sea, UK
G Watters
Affiliation:
Department of ENT, Southend Hospital NHS Trust, Westcliff-on-Sea, UK
E Kiverniti
Affiliation:
Department of ENT, Princess Alexandra Hospital NHS Trust, Harlow, UK
*
Address for correspondence: Mr Jonathan Joseph, 84 Ossulton Way, Hampstead Garden Suburb, London N2 0LB, UK E-mail: jajoseph@doctors.org.uk
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Abstract

Background:

Mastoid surgery carried out to treat chronic otitis media can lead to improvement in objective and subjective measures post-operatively. This study investigated the subjective change in quality of life using the Glasgow Benefit Inventory relative to the type of mastoid surgery undertaken.

Method:

A retrospective multicentre postal survey of 157 patients who underwent mastoid surgery from 2008 to 2012 was conducted.

Results:

Eighty-three questionnaire responses were received from patients who underwent surgery at one of three different hospitals (a response rate of 53 per cent). Fifty-seven per cent of patients had a Glasgow Benefit Inventory score of 0, indicating no change in quality of life post-operatively. Thirty-five per cent scored over 50, indicating significant improvement. The only significant difference found was that women fared worse after surgery than men.

Conclusion:

The choice of mastoid surgery technique should be determined by clinical need and surgeon preference. There is no improvement in quality of life for most patients following mastoid surgery.

Keywords

MastoidSurgeryQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 835 - 839
Copyright
Copyright © JLO (1984) Limited 2015 

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