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Long-term quality of life in patients with vestibular schwannoma managed with microsurgery

Published online by Cambridge University Press:  31 October 2019

C Santa Maria ,
P L Santa Maria ,
V Bulsara ,
J Jayawardena ,
J D Caldow ,
L H Png  and
M D Atlas
C Santa Maria*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, Stanford University School of Medicine, USA School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
P L Santa Maria
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, Stanford University School of Medicine, USA School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
V Bulsara
Affiliation:
School of Dentistry, The University of Western Australia, Perth, Australia
J Jayawardena
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
J D Caldow
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia
L H Png
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
M D Atlas
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
*
Author for correspondence: Dr Chloe Santa Maria, Stanford University School of Medicine, c/o Department of Otolaryngology, Head and Neck Surgery, 801 Welch Rd, Stanford 94305, USA E-mail: chloedomvillelewis@gmail.com Fax: +1 650 725 8502
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Abstract

Objective

Little is known about the long term (greater than 10 years) quality of life in patients with vestibular schwannoma. This study aimed to evaluate long-term outcomes in patients with vestibular schwannoma.

Method

A retrospective cohort study was performed across 2 academic institutions, with patients followed at least 10 years after vestibular schwannoma surgery (2000 to 2007). Telephone interviews were used to assess quality of life using the Glasgow Benefit Inventory and short form 12 item (version 2) health survey.

Results

A total of 99 out of 110 patients were included. Increasing age and symptom burden were associated with poorer quality of life (p = 0.01 and 0.02, respectively). The presence of imbalance, headache and facial nerve dysfunction were all associated with poorer quality of life scores (p = 0.01, 0.04 and 0.02, respectively).

Conclusion

Identifying and managing post-operative symptoms may improve quality of life in vestibular schwannoma patients and can guide clinical decision making.

Keywords

Neuroma, AcousticQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 953 - 959
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr C Santa Maria takes responsibility for the integrity of the content of the paper

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