Quality of Life following Small Fenestra Stapedotomy

Abstract

Objectives:

A cross-sectional observational study was designed to evaluate patient satisfaction after stapedotomy.

Methods:

Two validated questionnaires, the Psychosocial Impact of Assistive Devices Scale (PIADS) and the Hearing Handicap Inventory (HHI), were used to assess patients for whom audiometric data were available.

Results:

The response rate was 79%. The PIADS score showed that 96% of patients reported an improvement in quality of life. The HHI score, however, showed that 32% of patients still experienced a marked degree of handicap after surgery. The HHI scores correlated positively with postoperative audiometric data, and the PIADS scores correlated positively with the degree of change in audiometric data.

Conclusions:

The results of this study support the role of small fenestra stapedotomy as a primary treatment for otosclerosis. The study also identifies a certain subpopulation of patients with residual handicap who may require further aural rehabilitation.

Keywords

otosclerosis quality of life questionnaire stapes surgery

Get full access to this article

View all access options for this article.

References

Ellwood

. Shattuck Lecture — Outcomes management. A technology of patient experience. N Engl J Med 1988; 318: 1549–56.

Stewart

Metson

. Clinical outcomes in otolaryngology: State of the art. Laryngoscope 2000; 110(suppl 94).

Shea

. Thirty years of stapes surgery. J Laryngol Otol 1988; 102: 14–9.

Laitakari

. From posterior crus stapedectomy to 0.6 mm stapedotomy — Towards reliability in otosclerosis surgery. Acta Otolaryngol Suppl (Stockh) 1997(suppl 529): 50–2.

Persson

Harder

Magnuson

. Hearing results in otosclerosis surgery after partial stapedectomy, total stapedectomy and stapedotomy. Acta Otolaryngol (Stockh) 1997; 117: 94–9.

Kursten

Schneider

Zrunek

. Long-term results after stapedectomy versus stapedotomy. Am J Otol 1994; 15: 804–6.

Fisch

. Stapedotomy versus stapedectomy. Am J Otol 1982; 4: 112–7.

Cremers

Beusen

Huygen

. Hearing gain after stapedotomy, partial platinectomy, or total stapedectomy for otosclerosis. Ann Otol Rhinol Laryngol 1991; 100: 959–61.

Colletti

Sittoni

Fiorino

. Stapedotomy with and without stapedius tendon preservation versus stapedectomy: Long-term results. Am J Otol 1988; 9: 136–41.

10.

McGee

. Comparison of small fenestra and total stapedectomy. Ann Otol Rhinol Laryngol 1981; 90: 633–6.

11.

Causse

Parahy

. Stapedotomy technique and results. Am J Otol 1985; 6: 68–71.

12.

Meyer

Megerian

. Patients' perceived outcomes after stapedectomy for otosclerosis. Ear Nose Throat J 2000; 79:846–8, 851–2, 854.

13.

Noble

. Assessment of impaired hearing — A critique and a new method. New York, NY: Academic Press, 1978.

14.

Weinstein

. A review of hearing handicap scales. Audiology 1984; 9: 91–109.

15.

Ramsay

Karkkainen

Palva

. Success in surgery for otosclerosis: Hearing improvement and other indicators. Am J Otolaryngol 1997; 18: 23–8.

16.

Agrawal

Parnes

. Small fenestra stapedotomy for otosclerosis in a Canadian teaching centre. J Otolaryngol 2002; 31: 112–7.

17.

Hoddinott

Bass

. The Dillman total design survey method: A sure fire way to get high survey return rates. Can Fam Physician 1986; 32: 2366–8.

18.

Day

Jutai

. Measuring the psychosocial impact of assistive devices: The PIADS. Can J Rehab 1996; 9: 159–68.

19.

Ventry

Weinstein

. The hearing handicap inventory for the elderly: A new tool. Ear Hear 1982; 3: 128–34.

20.

Newman

Weinstein

Jacobson

Hug

. Testretest reliability of the hearing handicap inventory for adults. Ear Hear 1991; 12: 355–7.

21.

Newman

Jacobson

Hug

Sandridge

. Perceived hearing handicap of patients with unilateral or mild hearing loss. Ann Otol Rhinol Laryngol 1997; 106: 210–4.

22.

Saunders

Jutai

. Hearing specific and generic measures of the psychosocial impact of hearing aids. J Am Acad Audiol 2004; 15: 238–48.

23.

Day

Jutai

Campbell

. Development of a scale to measure the psychosocial impact of assistive devices: Lessons learned and the road ahead. Disabil Rehabil 2002; 24: 31–7.

24.

Dornhoffer

Bailey

Jr Graham

. Long-term hearing results following stapedotomy. Am J Otol 1994; 15: 674–8.

25.

Jutai

Rigby

Ryan

Stickel

. Psychosocial impact of electronic aids to daily living. Assist Technol 2000; 12: 123–31.

26.

Bess

Lichtenstein

Logan

Burger

. Comparing criteria of hearing impairment in the elderly: A functional approach. J Speech Hear Res 1989; 32: 795–802.

27.

De Bruijn

Tange

Dreschler

Grolman

Schouwenburg

. Bilateral stapedotomy in patients with otosclerosis: A disability-oriented evaluation of the benefit of second ear surgery. Clin Otolaryngol 1998; 23: 123–7.