Preoperative Quality of Life in Patients with Small Vestibular Schwannomas
Background: Vestibular schwannomas (VS) are benign tumors arising from the eighth cranial nerve. They often cause no symptoms for a long period of time. Due to the improved availability and quality of magnetic resonance imaging diagnostics, even small tumors can be diagnosed at an early stage. The f...
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2024-11-01
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| Series: | Journal of International Advanced Otology |
| Online Access: | https://www.advancedotology.org/en/preoperative-quality-of-life-in-patients-with-small-vestibular-schwannomas-131961 |
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| author | Matthias Scheich Lisa Schultes Manuel Stöth Jens-Holger Krannich Rudolf Hagen Stephan Hackenberg Miriam Bürklein |
| author_facet | Matthias Scheich Lisa Schultes Manuel Stöth Jens-Holger Krannich Rudolf Hagen Stephan Hackenberg Miriam Bürklein |
| author_sort | Matthias Scheich |
| collection | DOAJ |
| description | Background: Vestibular schwannomas (VS) are benign tumors arising from the eighth cranial nerve. They often cause no symptoms for a long period of time. Due to the improved availability and quality of magnetic resonance imaging diagnostics, even small tumors can be diagnosed at an early stage. The fact that the diagnosis of a VS might negatively affect a patient’s quality of life (QoL) should be taken into consideration when informing patients about various treatment options. However, little is known about the level of QoL in patients with small VS prior to scheduled surgery.
Methods: One hundred forty- one patients with a T1 or T2 VS that had been scheduled for microsurgery via the middle cranial fossa (MCF) approach between 01/2013 and 12/2018 were included. Quality of life was evaluated using the Short-Form-36 (SF-36) survey. Eighty-one patients completed the questionnaire. Additionally, audiological and clinical data were collected.
Results: When compared to the German normative QoL data, VS patients showed a significant deterioration in quality of life in 6 of the 8 SF-36 subscales, whereas only 4 of 8 subscales were affected when compared to the normative group of patients with hearing loss. The analysis of predictors did not show any significant relationship between tumor volume, facial nerve function, and QoL. Only preoperative hearing status and sex had a slight impact on one subscale each (emotional health and physical health, respectively).
Conclusion: This study shows that patients with small VS have an impairment in QoL before surgical treatment. Most of the examined clinical predictors did not have a significant impact on the QoL. |
| format | Article |
| id | doaj-art-a493416979a54e1496e5e8bacb98e1f5 |
| institution | Kabale University |
| issn | 2148-3817 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | AVES |
| record_format | Article |
| series | Journal of International Advanced Otology |
| spelling | doaj-art-a493416979a54e1496e5e8bacb98e1f52025-01-30T08:27:02ZengAVESJournal of International Advanced Otology2148-38172024-11-0120647247610.5152/iao.2024.241481Preoperative Quality of Life in Patients with Small Vestibular SchwannomasMatthias Scheich0https://orcid.org/0000-0002-3694-6354Lisa Schultes1Manuel Stöth2https://orcid.org/0000-0002-8069-4342Jens-Holger Krannich3Rudolf Hagen4https://orcid.org/0000-0003-4735-700XStephan Hackenberg5https://orcid.org/0000-0001-6995-1849Miriam Bürklein6Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, GermanyDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, GermanyDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, GermanyDepartment of Human Resources, University Hospital of Würzburg, Würzburg, GermanyDepartment of General Practice, University Hospital of Würzburg, Würzburg, GermanyDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, GermanyDepartment of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, GermanyBackground: Vestibular schwannomas (VS) are benign tumors arising from the eighth cranial nerve. They often cause no symptoms for a long period of time. Due to the improved availability and quality of magnetic resonance imaging diagnostics, even small tumors can be diagnosed at an early stage. The fact that the diagnosis of a VS might negatively affect a patient’s quality of life (QoL) should be taken into consideration when informing patients about various treatment options. However, little is known about the level of QoL in patients with small VS prior to scheduled surgery. Methods: One hundred forty- one patients with a T1 or T2 VS that had been scheduled for microsurgery via the middle cranial fossa (MCF) approach between 01/2013 and 12/2018 were included. Quality of life was evaluated using the Short-Form-36 (SF-36) survey. Eighty-one patients completed the questionnaire. Additionally, audiological and clinical data were collected. Results: When compared to the German normative QoL data, VS patients showed a significant deterioration in quality of life in 6 of the 8 SF-36 subscales, whereas only 4 of 8 subscales were affected when compared to the normative group of patients with hearing loss. The analysis of predictors did not show any significant relationship between tumor volume, facial nerve function, and QoL. Only preoperative hearing status and sex had a slight impact on one subscale each (emotional health and physical health, respectively). Conclusion: This study shows that patients with small VS have an impairment in QoL before surgical treatment. Most of the examined clinical predictors did not have a significant impact on the QoL.https://www.advancedotology.org/en/preoperative-quality-of-life-in-patients-with-small-vestibular-schwannomas-131961 |
| spellingShingle | Matthias Scheich Lisa Schultes Manuel Stöth Jens-Holger Krannich Rudolf Hagen Stephan Hackenberg Miriam Bürklein Preoperative Quality of Life in Patients with Small Vestibular Schwannomas Journal of International Advanced Otology |
| title | Preoperative Quality of Life in Patients with Small Vestibular Schwannomas |
| title_full | Preoperative Quality of Life in Patients with Small Vestibular Schwannomas |
| title_fullStr | Preoperative Quality of Life in Patients with Small Vestibular Schwannomas |
| title_full_unstemmed | Preoperative Quality of Life in Patients with Small Vestibular Schwannomas |
| title_short | Preoperative Quality of Life in Patients with Small Vestibular Schwannomas |
| title_sort | preoperative quality of life in patients with small vestibular schwannomas |
| url | https://www.advancedotology.org/en/preoperative-quality-of-life-in-patients-with-small-vestibular-schwannomas-131961 |
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