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Evaluation of quality of life and symptoms after translabyrinthine acoustic neuroma surgery
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Neurosurgery.
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1997 (English)In: The American journal of otology, ISSN 0192-9763, Vol. 18, no 4, 421-426 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE:

This study aimed to describe the consequences of acoustic neuroma surgery in terms of symptoms and quality of life.

STUDY DESIGN:

This study was a retrospective case review.

SETTING:

The surgery was conducted in Uppsala, Sweden.

PATIENTS:

A consecutive sample of acoustic neuroma patients operated on between 1988 and 1994.

INTERVENTION:

All patients had been operated on with the translabyrinthine technique.

MAIN OUTCOME MEASURES:

A questionnaire was constructed including questions about the surgery and symptoms. The House and Brackmann scale was used for grading facial function and the Brackmann and Bars scale was used for self-assessment of facial function.

RESULTS:

Follow-up data were collected by a postal questionnaire sent out and returned by 141 patients, which yielded a 90% response rate. Normal to moderately impaired facial function (House I-III) was evident in 85.2% of patients, although residual facial problems were reported. Most considered hearing to be worse after surgery (80%), and tinnitus was found in 60% of the sample. Balance problems (45%), dizziness (19%), and headache/pain (22%) were also reported. Work ability was affected in 23%, and 37% reported a continued need for medical consultations, mainly because of facial problems and pain. Most (89%) were pleased with the preoperative information.

CONCLUSIONS:

This study showed that few patients with acoustic neuroma had experienced negative social consequences after surgery. Although not linked to the operation, residual symptoms were reported that may necessitate further rehabilitation.

Place, publisher, year, edition, pages
1997. Vol. 18, no 4, 421-426 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-58894PubMedID: 9233480OAI: oai:DiVA.org:uu-58894DiVA: diva2:86803
Available from: 2008-10-17 Created: 2008-10-17 Last updated: 2017-12-01Bibliographically approved

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Nyberg, GunnarRask-Andersen, Helge

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