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Inicio Acta Otorrinolaringológica Española Quality of life after revision mastoidectomy with mastoid obliteration
Journal Information
Vol. 74. Issue 6.
Pages 352-358 (November - December 2023)
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Vol. 74. Issue 6.
Pages 352-358 (November - December 2023)
Original article
Quality of life after revision mastoidectomy with mastoid obliteration
Calidad de la vida después mastoidectomia de revisión con obliteración mastoidea
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20
Vito Pontillo
Corresponding author
pontillovito@gmail.com

Corresponding author at: Otolaryngology Unit, Department of DiBraiN, University of Bari, Policlinico di Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy.
, Sabino Ciprelli, Rossella Grillo, Nicola Quaranta
Otolaryngology Unit, Department of DiBraiN, University of Bari, Policlinico di Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy
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Tables (4)
Table 1. Demographics and intraoperative findings in primary and revision CWD with obliteration.
Table 2. Comparison of hearing results between primary and revision CWD with obliteration (left side) and between revision mastoidectomy after CWU and revision mastoidectomy after CWD (right side).
Table 3. Comparison of postoperative COMQ-12 scores between primary and revision CWD with obliteration (left side) and between revision mastoidectomy after CWU and revision mastoidectomy after CWD (right side).
Table 4. Reasons for revision surgery after CWU or CWD.
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Abstract
Aims

To evaluate the postoperative quality of life (QoL) after revision canal wall down mastoidectomy with mastoid obliteration (rCWD).

Material and methods

A retrospective analysis was conducted on patients treated by rCWD for cholesteatoma between 2016 and 2019. A control group including all patients treated by primary canal wall down with mastoid obliteration (pCWD) for cholesteatoma between 2009 and 2014 was used for the comparison of the postoperative QoL, assessed by the COMQ-12.

Results

The rCWD and pCWD groups respectively counted 38 and 78 patients with an average follow-up of 30 and 62 months respectively. No significant difference was found in terms of QoL between the two groups. An intra-group analysis among rCWD patients, showed that patients treated by canal wall down (CWD) at the primary surgery had a significantly worse post-revision QoL compared to those initially treated by canal wall up (CWU), specifically in the hearing and balance domains of the questionnaire.

Conclusions

Revision mastoid obliteration leads to similar QoL results to those obtained after primary CWD with obliteration. Patients who had undergone a CWD as primary surgery complain worse hearing and balance problems compared to those primarily submitted to CWU, even after revision surgery.

Keywords:
Revision mastoidectomy
Mastoid obliteration
Cholesteatoma
Quality of life
COMQ-12
Resumen
Objetivo

Evaluar la calidad de la vida (CdV) post-operatoria después de mastoidectomia de revisión con obliteración mastoidea y timpanoplastia abierta.

Materiales y métodos

Ha sido efectuada una análisis retrospectiva in pacientes afectados por colesteatoma y tratados con mastoidectomia de revision con obliteración mastoidea entre el 2016 y el 2019. Pacientes afectados por colesteatoma y tratados con timpanoplastia abierta primaria con obliteración mastoidea entre el 2009 y el 2014 representan el grupo de control. La CdV post-operatoria ha sido analizada con el cuestionario COMQ-12.

Resultados

El grupo de estudio y el grupo control cuentan respectivamente 38 y 78 pacientes con un seguimiento medio de 30 y 62 meses. La CdV no era significativamente diferente entre los dos grupos. Una sub-análisis en el grupo de estudio ha demostrado que la CdV era significativamente peor en pacientes primitivamente tratados con timpanoplastia abierta en comparación con pacientes primitivamente tratados con timpanoplastia serrada, en particular en los dominios de la audición y del equilibrio.

Conclusiones

La CdV obtenida después de la obliteración mastoidea de revisión es comparable a aquella obtenida con timpanoplastia abierta primaria con obliteración mastoidea. Los pacientes sometidos a cirugía de revisión que habían sido tratados con timpanoplastia abierta primaria presentan una CdV peor de los pacientes precedentemente tratados por timpanoplastia cerrada en los dominios de la audición y del equilibrio.

Palabras clave:
Mastoidectomia de revisión
Obliteración mastoidea
Colesteatoma
Calidad de la vida
COMQ-12

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