Department of ENT Head and Neck Surgery, Zealand University Hospital, Koege, Denmark.
J Int Adv Otol. 2022 Jul;18(4):320-326. doi: 10.5152/iao.2022.21479.
The study aims to investigate the effect of stapedotomy on audiology measurements and the disease-specific health-related quality of life for patients with otosclerosis using the Danish Stapesplasty Outcome Test-25 as a quality of life measuring tool.
In this study, 50 patients who had undergone stapedotomy at our department between September 2017 and December 2020 were included. Data collection was performed by audiometric testing (pure tone and speech audiometry) in the pre- and postoperative settings. Health-related quality of life was assessed pre- and postoperatively in 30 patients using the validated Danish Stapesplasty Outcome Test-25.
The mean improvement in air conduction thresholds was 27.7 dB and the mean improvement in air-bone gap was 21.8 dB. Health- related quality of life improved significantly after stapes surgery in all subscores of the Stapesplasty Outcome Test-25 (hearing, mental condition, social restriction, and general), except for "tinnitus." The improvement in the audiometric data correlated significantly with the improvement in "total score" and "hearing function" but not with "tinnitus," "social restrictions," and "mental condition."
Stapedotomy leads to significant improvement in hearing and health-related quality of life. The Stapesplasty Outcome Test-25 can be used as a valuable supplement to the hearing test by assessing health-related quality of life.
本研究旨在使用丹麦镫骨成形术结果测试-25 作为生活质量测量工具，探讨鼓室成形术对耳硬化症患者听力学测量和疾病特异性健康相关生活质量的影响。
本研究纳入了 2017 年 9 月至 2020 年 12 月在我科接受镫骨成形术的 50 例患者。数据采集通过术前和术后的纯音和言语测听进行。在 30 例患者中，使用经过验证的丹麦镫骨成形术结果测试-25 评估术前和术后的健康相关生活质量。
气导阈值的平均改善为 27.7dB，气骨导差的平均改善为 21.8dB。所有镫骨成形术结果测试-25 的亚量表（听力、精神状况、社会限制和一般）的健康相关生活质量在镫骨手术后均显著改善，除“耳鸣”外。听力数据的改善与“总分”和“听力功能”的改善显著相关，但与“耳鸣”、“社会限制”和“精神状况”无关。
鼓室成形术可显著改善听力和健康相关生活质量。镫骨成形术结果测试-25 可作为听力测试的有价值的补充，用于评估健康相关生活质量。
