Lailach S, Baumann I, Zahnert T, Neudert M
Klinik und Poliklinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Dresden, Fetscher Straße 74, 01307, Dresden, Deutschland.
Hals-Nasen-Ohrenklinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
HNO. 2018 Aug;66(8):578-589. doi: 10.1007/s00106-018-0524-3.
The evaluation of results after middle ear reconstruction has been mainly based on functional parameters. In clinical practice as well as in otological research, the pure tone audiogram represents the gold standard in the assessment of the postoperative outcome. In order to assess the patient's subjective outcome, outcome analyzes focus increasingly on the health-related quality of life (HRQOL). However, the evaluation of HRQOL requires reliable and validated measuring instruments. A modest number of validated questionnaires for determination of the disease-specific HRQOL in patients with chronic otitis media and/or conductive hearing loss are currently available. Three of seven available questionnaires were developed and validated in the German-speaking countries, the Zurich Chronic Middle Ear Inventory 21 (ZCMEI-21), the Chronic Otitis Media Outcome Test 15 (COMOT-15) and the Stapesplasty Outcome Test 25 (SPOT-25). In this review, all seven available disease-specific measuring instruments as well as the generic questionnaires, which were used in previous clinical trials, are explained and current findings of quality-of-life research in patients with chronic otitis media and/or conductive hearing loss are presented.
中耳重建术后结果的评估主要基于功能参数。在临床实践以及耳科学研究中，纯音听力图是评估术后结果的金标准。为了评估患者的主观结果，结果分析越来越关注与健康相关的生活质量（HRQOL）。然而，HRQOL的评估需要可靠且经过验证的测量工具。目前有少量经过验证的问卷可用于确定慢性中耳炎和/或传导性听力损失患者特定疾病的HRQOL。七份可用问卷中有三份是在德语国家开发并验证的，即苏黎世慢性中耳量表21（ZCMEI - 21）、慢性中耳炎结果测试15（COMOT - 15）和镫骨手术结果测试25（SPOT - 25）。在本综述中，将解释所有七份可用的特定疾病测量工具以及先前临床试验中使用的通用问卷，并展示慢性中耳炎和/或传导性听力损失患者生活质量研究的当前结果。
