Hostname: page-component-6766d58669-bp2c4 Total loading time: 0 Render date: 2026-05-16T16:40:40.044Z Has data issue: false hasContentIssue false
  • English
  • Français

The Gopen–Yang Superior Semicircular Canal Dehiscence Questionnaire: development and validation of a clinical questionnaire to assess subjective symptoms in patients undergoing surgical repair of superior semicircular canal dehiscence

Published online by Cambridge University Press:  24 January 2019

B L Voth ,
J P Sheppard ,
N E Barnette ,
V Ong ,
T Nguyen ,
C H Jacky Chen ,
C Duong ,
J J Arsenault ,
C Lagman  and
Q Gopen
...Show all authors
B L Voth
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
J P Sheppard
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
N E Barnette
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
V Ong
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
T Nguyen
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
C H Jacky Chen
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
C Duong
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
J J Arsenault
Affiliation:
Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
C Lagman
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA
Q Gopen
Affiliation:
Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA Los Angeles Biomedical Research Institute, Los Angeles, California, USA Harbor-UCLA Medical Center, Los Angeles, California, USA
I Yang*
Affiliation:
Department of Neurosurgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, USA Department of Radiation Oncology, David Geffen School of Medicine, University of California, Los Angeles, California, USA Los Angeles Biomedical Research Institute, Los Angeles, California, USA Harbor-UCLA Medical Center, Los Angeles, California, USA Jonsson Comprehensive Cancer Center, Los Angeles, California, USA
*
Author for correspondence: Dr Isaac Yang, Department of Neurosurgery, University of California, Los Angeles, 300 Stein Plaza, Ste. 562, Los Angeles, CA 90095-1761, USA E-mail: iyang@mednet.ucla.edu Fax: +1 310 825 9384
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To characterise subjective symptoms in patients undergoing surgical repair of superior semicircular canal dehiscence.

Methods

Questionnaires assessing symptom severity and impact on function and quality of life were administered to patients before superior semicircular canal dehiscence surgery, between June 2011 and March 2016. Questionnaire sections included general quality of life, internal amplified sounds, dizziness and tinnitus, with scores of 0–100 points.

Results

Twenty-three patients completed the questionnaire before surgery. Section scores (mean±standard deviation) were: 38.2 ± 25.2 for general quality of life, 52.5 ± 23.9 for internal amplified sounds, 35.1 ± 28.8 for dizziness, 33.3 ± 30.7 for tinnitus, and 39.8 ± 22.2 for the composite score. Cronbach's α statistic averaged 0.93 (range, 0.84–0.97) across section scores, and 0.83 for the composite score.

Conclusion

The Gopen–Yang Superior Semicircular Canal Dehiscence Questionnaire provides a holistic, patient-centred characterisation of superior semicircular canal dehiscence symptoms. Internal consistency analysis validated the questionnaire and provided a quantitative framework for further optimisation in the clinical setting.

Keywords

Semicircular CanalsQuality Of LifeTinnitusDizzinessHealth Surveys

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 12 , December 2018 , pp. 1110 - 1118
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Dr I Yang takes responsibility for the integrity of the content of the paper

References

1Minor, LB, Solomon, D, Zinreich, JS, Zee, DS. Sound- and/or pressure-induced vertigo due to bone dehiscence of the superior semicircular canal. Arch Otolaryngol Head Neck Surg 1998;124:249–58Google Scholar
2Chung, LK, Lagman, C, Nagasawa, DT, Gopen, Q, Yang, I. Superior semicircular canal dehiscence in a patient with Ehlers-Danlos syndrome: a case report. Cureus 2017;9:e1141Google Scholar
3Beckett, JS, Lagman, C, Chung, LK, Bui, TT, Lee, SJ, Voth, BL et al. Computerized assessment of superior semicircular canal dehiscence size using advanced morphological imaging operators. J Neurol Surg B Skull Base 2017;78:197–200Google Scholar
4Lagman, C, Ong, V, Chung, LK, Elhajjmoussa, L, Fong, C, Wang, AC et al. Pediatric superior semicircular canal dehiscence: illustrative case and systematic review. J Neurosurg Pediatr 2017;20:196–203Google Scholar
5Pfammatter, A, Darrouzet, V, Gartner, M, Somers, T, Van Dinther, J, Trabalzini, F et al. A superior semicircular canal dehiscence syndrome multicenter study: is there an association between size and symptoms? Otol Neurotol 2010;31:447–54Google Scholar
6Spasic, M, Trang, A, Chung, LK, Ung, N, Thill, K, Zarinkhou, G et al. Clinical characteristics of posterior and lateral semicircular canal dehiscence. J Neurol Surg B Skull Base 2015;76:421–5Google Scholar
7Rajan, GP, Leaper, MR, Goggin, L, Atlas, MD, Boeddinghaus, R, Eikelboom, RK. The effects of superior semicircular canal dehiscence on the labyrinth: does size matter? Otol Neurotol 2008;29:972–5Google Scholar
8Ung, N, Pelargos, P, Chung, LK, Voth, B, Barnette, N, Bhatt, N et al. Improvements in clinical outcomes for superior semicircular canal dehiscence treatment with middle fossa craniotomy. J Neurol Surg B Skull Base 2016;77:A097Google Scholar
9Minor, LB. Clinical manifestations of superior semicircular canal dehiscence. Laryngoscope 2005;115:1717–27Google Scholar
10Zhou, G, Ohlms, L, Liberman, J, Amin, M. Superior semicircular canal dehiscence in a young child: implication of developmental defect. Int J Pediatr Otorhinolaryngol 2007;71:1925–8Google Scholar
11Yew, A, Zarinkhou, G, Spasic, M, Trang, A, Gopen, Q, Yang, I. Characteristics and management of superior semicircular canal dehiscence. J Neurol Surg B Skull Base 2012;73:365–70Google Scholar
12Zhang, LC, Hong, RJ, Dai, CF, Chi, FL, Sha, Y. CT multiplane reconstruction images of superior semicircular canal dehiscence syndrome [in Chinese]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2009;44:736–8Google Scholar
13Ostrowski, VB, Byskosh, A, Hain, TC. Tullio phenomenon with dehiscence of the superior semicircular canal. Otol Neurotol 2001;22:61–5Google Scholar
14Newman, CW, Jacobson, GP, Spitzer, JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg 1996;122:143–8Google Scholar
15Gioacchini, FM, Alicandri-Ciufelli, M, Kaleci, S, Scarpa, A, Cassandro, E, Re, M. Outcomes and complications in superior semicircular canal dehiscence surgery: a systematic review. Laryngoscope 2016;126:1218–24Google Scholar
16Palma Diaz, M, Cisneros Lesser, JC, Vega Alarcon, A. Superior semicircular canal dehiscence syndrome - diagnosis and surgical management. Int Arch Otorhinolaryngol 2017;21:195–8Google Scholar
17McHorney, CA, Ware, JE Jr, Lu, JF, Sherbourne, CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 1994;32:40–66Google Scholar
18McHorney, CA, Ware, JE Jr, Raczek, AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993;31:247–63Google Scholar
19Ware, JE Jr, Sherbourne, CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473–83Google Scholar
20Jacobson, GP, Newman, CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990;116:424–7Google Scholar
21Cronbach, LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951;16:297–334Google Scholar
22Kulseng-Hanssen, S, Borstad, E. The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. BJOG 2003;110:983–8Google Scholar
23Castle, NG, Brown, J, Hepner, KA, Hays, RD. Review of the literature on survey instruments used to collect data on hospital patients' perceptions of care. Health Serv Res 2005;40:1996–2017Google Scholar
24Anhang Price, R, Elliott, MN, Zaslavsky, AM, Hays, RD, Lehrman, WG, Rybowski, L et al. Examining the role of patient experience surveys in measuring health care quality. Med Care Res Rev 2014;71:522–54Google Scholar
25Revelle, W, Zinbarg, RE. Coefficients alpha, beta, omega, and the glb: comments on Sijtsma. Psychometrika 2009;74:145–54Google Scholar
26Nunnally, JC, Bernstein, IH. Assessment of Reliability. Psychometric Theory, 3rd edn. New York: McGraw-Hill, 1994;xxiv, 752Google Scholar
27Prakash, B. Patient satisfaction. J Cutan Aesthet Surg 2010;3:151–5Google Scholar
28Hickey, ML, Kleefield, SF, Pearson, SD, Hassan, SM, Harding, M, Haughie, P et al. Payer-hospital collaboration to improve patient satisfaction with hospital discharge. Jt Comm J Qual Improv 1996;22:336–44Google Scholar
29Dull, VT, Lansky, D, Davis, N. Evaluating a patient satisfaction survey for maximum benefit. Jt Comm J Qual Improv 1994;20:444–53Google Scholar
30Younger, J, McCue, R, Mackey, S. Pain outcomes: a brief review of instruments and techniques. Curr Pain Headache Rep 2009;13:39–43Google Scholar
31Powell, HR, Khalil, SS, Saeed, SR. Outcomes of transmastoid surgery for superior semicircular canal dehiscence syndrome. Otol Neurotol 2016;37:e228–33Google Scholar