The evaluation of canal wall up cholesteatoma surgery with the Glasgow Benefit Inventory

Eur Arch Otorhinolaryngol. 2020 Jan;277(1):61-68. doi: 10.1007/s00405-019-05670-8. Epub 2019 Oct 4.

Abstract

Purpose: The aim of the study was to investigate the change in health-related quality of life (HRQoL) after canal wall up cholesteatoma surgery, using the Glasgow Benefit Inventory (GBI).

Methods: Data from a consecutive group of 47 adults scheduled for primary cholesteatoma surgery using canal wall up (CWU) with obliteration, from January 2005 to December 2009, were analysed. Information was extracted from a medical database, and complementary data from patient files and audiograms were collected and recorded retrospectively. The GBI questionnaire was used for the assessment of HRQoL after surgery.

Results: There was no finding of residual or recurrent cholesteatomas in the study group. Hearing was improved at 1 and 3 years postoperatively. No patient suffered a total hearing loss. The overall GBI scores showed an improved HRQoL after surgery. Twenty-nine (85%) patients benefitted from surgery, 1 (3%) had no change, and 4 (12%) expressed deterioration.

Conclusions: Cholesteatoma surgery using CWU with obliteration gives an improved HRQoL for the majority of patients. The GBI questionnaire provides complementary information to hearing and healing results after cholesteatoma surgery.

Keywords: Cholesteatoma; Glasgow benefit inventory; Health-related quality of life.

MeSH terms

  • Adolescent
  • Adult
  • Cholesteatoma, Middle Ear / diagnosis
  • Cholesteatoma, Middle Ear / surgery*
  • Female
  • Hearing Tests
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Retrospective Studies
  • Surveys and Questionnaires*
  • Treatment Outcome