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. 2022 Jan;279(1):191-198.
doi: 10.1007/s00405-021-06670-3. Epub 2021 Feb 16.

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

Daniela Lucidi  1 , Marella Reale  2 , Matteo Fermi  1 , Edoardo Bassano  1 , Marco Bonali  1 , Ignacio Javier Fernandez  1 , Livio Presutti  1 , Matteo Alicandri-Ciufelli  1
Affiliations

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

Daniela Lucidi et al. Eur Arch Otorhinolaryngol. 2022 Jan.

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.

Keywords: Cholesteatoma; Chronic ear survey; Depression anxiety stress scale; Endoscopic ear surgery; Quality of life; Tympanoplasty.

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