Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery
Chronic otitis media (COM) is a persistent inflammation of the middle ear. COM often requires surgical management and represents one of the most disabling pathologies in the field of otolaryngology, not only due to hearing loss but also because recurrent otorrhea seriously affects the quality of lif...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-12-01
|
| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/13/1/74 |
| _version_ | 1797440053417345024 |
|---|---|
| author | Michele Cavaliere Antonella Miriam Di Lullo Pasquale Capriglione Gaetano Motta Elena Cantone |
| author_facet | Michele Cavaliere Antonella Miriam Di Lullo Pasquale Capriglione Gaetano Motta Elena Cantone |
| author_sort | Michele Cavaliere |
| collection | DOAJ |
| description | Chronic otitis media (COM) is a persistent inflammation of the middle ear. COM often requires surgical management and represents one of the most disabling pathologies in the field of otolaryngology, not only due to hearing loss but also because recurrent otorrhea seriously affects the quality of life (QoL) of patients. The COMOT-15 questionnaire is a reliable, valid and sensitive tool for measuring the QoL of patients with COM. The aim of this study was to evaluate QoL by using the Italian version of the COMOT-15 in COM patients undergoing surgery based on age and different operation techniques. This observational retrospective study involved fifty-two consecutive patients undergoing surgical treatment for COM according to Nadol criteria. Preoperatively (T0) and 12 months after surgery (T1) patients underwent clinical examination, imaging, the Italian version of the COMOT-15 and pure tone audiometry. After surgery, we observed an improvement of QoL in 84.6% of the population. The COMOT-15 overall score, ear symptoms and hearing subscores showed significantly better ratings after surgery in the whole analyzed group. However, the separate analysis of patients operated with open techniques and closed techniques showed a significant improvement in ear symptoms subscore in both groups and a significant improvement in hearing subscore and mental health subscore only in patients operated on with closed techniques. Moreover, we observed a positive correlation between age and Δ-COMOT. This study shows the crucial role of a reliable and suitable questionnaire such as the COMOT-15 in evaluating COM patients, including clinical symptoms, functional and psychological impairments and highlighting a positive correlation between age and COMOT-15 results. |
| first_indexed | 2024-03-09T12:02:36Z |
| format | Article |
| id | doaj.art-49047471264a41e78d2a6a75d9bacf13 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T12:02:36Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-49047471264a41e78d2a6a75d9bacf132023-11-30T23:01:46ZengMDPI AGJournal of Personalized Medicine2075-44262022-12-011317410.3390/jpm13010074Quality of Life Assessment of Chronic Otitis Media Patients Following SurgeryMichele Cavaliere0Antonella Miriam Di Lullo1Pasquale Capriglione2Gaetano Motta3Elena Cantone4ENT Section, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples, Federico II. Pansini Street n.5, 80131 Naples, ItalyENT Section, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples, Federico II. Pansini Street n.5, 80131 Naples, ItalyENT Section, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples, Federico II. Pansini Street n.5, 80131 Naples, ItalyOtorhinolaryngology, Head and Neck Surgery Unit, Department of Mental and Physical Health and Preventive, Medicine, Università Degli Studi Della Campania Luigi Vanvitelli, 80131 Naples, ItalyENT Section, Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples, Federico II. Pansini Street n.5, 80131 Naples, ItalyChronic otitis media (COM) is a persistent inflammation of the middle ear. COM often requires surgical management and represents one of the most disabling pathologies in the field of otolaryngology, not only due to hearing loss but also because recurrent otorrhea seriously affects the quality of life (QoL) of patients. The COMOT-15 questionnaire is a reliable, valid and sensitive tool for measuring the QoL of patients with COM. The aim of this study was to evaluate QoL by using the Italian version of the COMOT-15 in COM patients undergoing surgery based on age and different operation techniques. This observational retrospective study involved fifty-two consecutive patients undergoing surgical treatment for COM according to Nadol criteria. Preoperatively (T0) and 12 months after surgery (T1) patients underwent clinical examination, imaging, the Italian version of the COMOT-15 and pure tone audiometry. After surgery, we observed an improvement of QoL in 84.6% of the population. The COMOT-15 overall score, ear symptoms and hearing subscores showed significantly better ratings after surgery in the whole analyzed group. However, the separate analysis of patients operated with open techniques and closed techniques showed a significant improvement in ear symptoms subscore in both groups and a significant improvement in hearing subscore and mental health subscore only in patients operated on with closed techniques. Moreover, we observed a positive correlation between age and Δ-COMOT. This study shows the crucial role of a reliable and suitable questionnaire such as the COMOT-15 in evaluating COM patients, including clinical symptoms, functional and psychological impairments and highlighting a positive correlation between age and COMOT-15 results.https://www.mdpi.com/2075-4426/13/1/74COMQoLCOMOT-15chronic otitis mediaear surgery |
| spellingShingle | Michele Cavaliere Antonella Miriam Di Lullo Pasquale Capriglione Gaetano Motta Elena Cantone Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery Journal of Personalized Medicine COM QoL COMOT-15 chronic otitis media ear surgery |
| title | Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery |
| title_full | Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery |
| title_fullStr | Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery |
| title_full_unstemmed | Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery |
| title_short | Quality of Life Assessment of Chronic Otitis Media Patients Following Surgery |
| title_sort | quality of life assessment of chronic otitis media patients following surgery |
| topic | COM QoL COMOT-15 chronic otitis media ear surgery |
| url | https://www.mdpi.com/2075-4426/13/1/74 |
| work_keys_str_mv | AT michelecavaliere qualityoflifeassessmentofchronicotitismediapatientsfollowingsurgery AT antonellamiriamdilullo qualityoflifeassessmentofchronicotitismediapatientsfollowingsurgery AT pasqualecapriglione qualityoflifeassessmentofchronicotitismediapatientsfollowingsurgery AT gaetanomotta qualityoflifeassessmentofchronicotitismediapatientsfollowingsurgery AT elenacantone qualityoflifeassessmentofchronicotitismediapatientsfollowingsurgery |