Comparison of quality of life in vestibular schwannoma patients managed with observation, radiotherapy or microsurgery.
J Laryngol Otol
; : 1-6, 2024 Apr 16.
Article
in En
| MEDLINE
| ID: mdl-38623841
ABSTRACT
OBJECTIVES:
In decision making regarding the management of vestibular schwannomas, alongside clinical outcomes, an understanding of patient reported health-related quality of life measures is key. Therefore, the aim of this research is to compare health-related quality of life in vestibular schwannoma patients treated with active observation, stereotactic radiotherapy and microsurgical excision.METHODS:
A cross-sectional study of patients diagnosed with unilateral sporadic vestibular schwannomas between 1995 and 2015 at a specialist tertiary centre was conducted. Patients completed the Penn Acoustic Neuroma Quality of Life questionnaire and handicap inventories for dizziness, hearing and tinnitus.RESULTS:
Of 234 patients, 136 responded (58.1 per cent). Management modality was 86 observation, 23 stereotactic radiotherapy and 25 microsurgery. Females reported significantly worse dizziness; males reported significantly worse physical disability. Patients less than 65 years old reported significantly worse tinnitus and pain scores. Overall, quality of life was higher in the observation group.CONCLUSION:
Conservative management, where appropriate, is favourable with higher quality-of-life outcomes in this cohort. This must be weighed against the risks of a growing tumour.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Laryngol Otol
/
J. laryngol. otol
/
Journal of laryngology and otology
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2024
Document type:
Article
Country of publication: