Associations of Vestibular Tests With Penn Acoustic Neuroma Quality of Life Scores After Resection of Vestibular Schwannoma.
Otol Neurotol
; 41(2): e241-e249, 2020 02.
Article
en En
| MEDLINE
| ID: mdl-31821250
ABSTRACT
OBJECTIVE:
Determine associations between preoperative caloric testing and video head impulse testing (vHIT) with baseline and postoperative Penn Acoustic Neuroma Quality of Life (PANQOL) scores following resection of vestibular schwannoma (VS). STUDYDESIGN:
Retrospective case series.SETTING:
Two tertiary referral hospitals. PATIENTS Adult patients with unilateral VS, preoperative calorics, vHIT, and dizziness handicap inventory (DHI) score.INTERVENTIONS:
Surgical resection of VS and postoperative surveys. MAIN OUTCOMEMEASURES:
PANQOL scores.RESULTS:
Forty-three patients were included (58.1% women) with a median age of 54 years (range, 28-82). Mean tumor size was 14.8âmm (σ=8.6), and 28 (65.1%) were right-sided. Average preoperative vHIT gain was 0.7 (σâ=â0.3). Covert and overt saccades were present in 8 (25%) and 14 (42.4%) patients, respectively. Average preoperative unilateral weakness was 47% (σâ=â33.2). Translabyrinthine approach was performed in 26 (60.5%) patients. No significant difference of PANQOL scores was noted at baseline or over time between patients with normal (>0.8) or abnormal (<0.8) gain. Patients with more unilateral weakness (>50%) had significantly higher baseline PANQOL scores compared with those withâ<â25% or 25 to 50% (pâ=â0.02), but had significant improvement in scores over time (pâ=â0.01). Higher preoperative DHI preoperatively was significantly associated with worse PANQOL scores at all timepoints (ß=0.57, pâ=â0.0064). No differences in PANQOL scores amongst surgical approaches were observed.CONCLUSION:
Preoperative vestibular testing with vHIT, calorics, DHI, and baseline PANQOL surveys may allow for patient counseling regarding postoperative quality of life over time.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neuroma Acústico
Tipo de estudio:
Observational_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Otol Neurotol
Asunto de la revista:
NEUROLOGIA
/
OTORRINOLARINGOLOGIA
Año:
2020
Tipo del documento:
Article