nach oben

European Archives of Oto-Rhino-Laryngology

Erschienen in:

01.07.2014 | Otology

Quality of life after microsurgery for vestibular schwannoma via the middle cranial fossa approach

verfasst von: Matthias Scheich, Christian Ginzkey, Edith Reuter, Wilma Harnisch, Desiree Ehrmann, Rudolf Hagen

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 7/2014

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to analyse the quality of life (QOL) of patients who had undergone microsurgery for vestibular schwannomas (VS). A questionnaire was sent to 117 consecutive patients who had been operated on using the middle cranial fossa (MCF) approach between October 2005 and June 2011. The response rate was 91/117 (78 %) of which 86 were suitable for analysis. The questionnaire consisted of the Short Form-36 (SF-36) Health Survey including a self-designed, disease-specific section. Demographic data, tumour size, hearing status and facial nerve function were extracted from our VS database. Patients scored significantly lower in seven of the eight subscales of the SF-36 compared to German normative QOL data. But when compared to a normative group of patients with hearing loss, only two subscales were affected. The alteration of the subscales was correlated with objective and subjective parameters. Vertigo and postoperative hearing status could be identified as the parameters with the strongest influence on QOL.

Roche PH, Bouvier C, Chinot O, Figarella-Branger D (2008) Genesis and biology of vestibular schwannomas. In: Regis J, Roche PH (eds) Modern management of acoustic neuroma, vol 21., Prog Neurol Surg, Karger, Basel, pp 24–31CrossRef

Regli F (1978) Neurological aspects of cerebellopontine angle tumours [in German]. In: Plester D, Wende S, Nakayama N (eds) Kleinhirnbrückenwinkel tumoren, diagnostik und therapie. Springer-Verlag Berlin, Heidelberg, pp 76–86CrossRef

Stangerup SE, Tos M, Thomsen J, Caye-Thomasen P (2010) True incidence of vestibular schwannoma? Neurosurgery 67(5):1335–1340. doi:10.1227/NEU.0b013e3181f22660 (discussion 1340)CrossRefPubMed

Samii M, Matthies C (1997) Management of 1,000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them. Neurosurgery 40(1):11–21 (discussion 21–13)PubMed

Meyer TA, Canty PA, Wilkinson EP, Hansen MR, Rubinstein JT, Gantz BJ (2006) Small acoustic neuromas: surgical outcomes versus observation or radiation. Otol Neurotol 27(3):380–392. doi:10.1097/00129492-200604000-00015 CrossRefPubMed

Sughrue ME, Yang I, Aranda D, Kane AJ, Parsa AT (2010) Hearing preservation rates after microsurgical resection of vestibular schwannoma. J Clin Neurosci 17(9):1126–1129. doi:10.1016/j.jocn.2010.01.018 CrossRefPubMed

Tufarelli D, Meli A, Alesii A, De Angelis E, Badaracco C, Falcioni M, Sanna M (2006) Quality of life after acoustic neuroma surgery. Otol Neurotol 27(3):403–409. doi:http://www.ncbi.nlm.nih.gov/pubmed/16639281 CrossRefPubMed

Ginzkey C, Scheich M, Harnisch W, Bonn V, Ehrmann-Muller D, Shehata-Dieler W, Mlynski R, Hagen R (2013) Outcome on hearing and facial nerve function in microsurgical treatment of small vestibular schwannoma via the middle cranial fossa approach. Eur Arch Otorhinolaryngol 270(4):1209–1216. doi:10.1007/s00405-012-2074-8

Scheich M, Ginzkey C, Harnisch W, Ehrmann D, Shehata-Dieler W, Hagen R (2012) Use of flexible CO(2) laser fiber in microsurgery for vestibular schwannoma via the middle cranial fossa approach. Eur Arch Otorhinolaryngol 269(5):1417–1423. doi:10.1007/s00405-011-1791-8 CrossRefPubMed

10.

DeMonte F, Gidley PW (2012) Hearing preservation surgery for vestibular schwannoma: experience with the middle fossa approach. Neurosurg Focus 33(3):E10. doi:10.3171/2012.7.FOCUS12172 CrossRefPubMed

11.

Ansari SF, Terry C, Cohen-Gadol AA (2012) Surgery for vestibular schwannomas: a systematic review of complications by approach. Neurosurg Focus 33(3):E14. doi:10.3171/2012.6.FOCUS12163 CrossRefPubMed

12.

House WF (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope 71:1363–1385. doi:10.1288/00005537-196111000-00004 CrossRefPubMed

13.

House WF, Gardner G, Hughes RL (1968) Middle cranial fossa approach to acoustic tumor surgery. Arch Otolaryngol 88(6):631–641CrossRefPubMed

14.

Fisch U (1969) Transtemporal extralabyrinthine operations on the internal auditory canal, the eighth and the seventh cranial nerves. In: Yasargil G (ed) Microsurgery applied to neurosurgery. Thieme, Stuttgart, pp 195–210

15.

Wigand ME, Haid T, Berg M, Rettinger G (1982) The enlarged transtemporal approach to the cerebellopontine angle: technique and indications. [In Italian]. Acta Otorhinolaryngol Ital 2:571–582

16.

Kanzaki J, Kawase T, Sano K, Shiobara R, Toya S (1977) A modified extended middle cranial fossa approach for acoustic tumors. Arch Otorhinolaryngol 217(1):119–121CrossRefPubMed

17.

Briggs RJ, Fabinyi G, Kaye AH (2000) Current management of acoustic neuromas: review of surgical approaches and outcomes. J Clin Neurosci 7(6):521–526. doi:10.1054/jocn.2000.0728 CrossRefPubMed

18.

Da Cruz MJ, Moffat DA, Hardy DG (2000) Postoperative quality of life in vestibular schwannoma patients measured by the SF36 health questionnaire. Laryngoscope 110(1):151–155. doi:10.1097/00005537-200001000-00027 CrossRefPubMed

19.

Ware JE (1993) Measuring patients’ views: the optimum outcome measure. BMJ 306(6890):1429–1430PubMedCentralCrossRefPubMed

20.

Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483CrossRefPubMed

21.

Morfeld M, Bullinger M, Nantke J, Brahler E (2005) The version 2.0 of the SF-36 health survey: results of a population-representative study [in German]. Soz Praventivmed 50(5):292–300CrossRefPubMed

22.

Ware JE, Snow KK, Kosinski M, Gandeck B (1993) SF-36 health-survey: manual and interpretation guide. The Health Institute, New England Medical Center, Boston

23.

Bullinger M, Kirchberger I (1998) SF-36 health survey—german manual [in German]. Hogrefe Göttingen, Bern

24.

Myrseth E, Moller P, Wentzel-Larsen T, Goplen F, Lund-Johansen M (2006) Untreated vestibular schwannomas: vertigo is a powerful predictor for health-related quality of life. Neurosurgery 59(1):67–76. doi:10.1227/01.NEU.0000219838.80931.6B (discussion 67–76)CrossRefPubMed

25.

Pollock BE, Driscoll CL, Foote RL, Link MJ, Gorman DA, Bauch CD, Mandrekar JN, Krecke KN, Johnson CH (2006) Patient outcomes after vestibular schwannoma management: a prospective comparison of microsurgical resection and stereotactic radiosurgery. Neurosurgery 59(1):77–85. doi:10.1227/01.NEU.0000219217.14930.14 (discussion 77–85)CrossRefPubMed

26.

Breivik CN, Varughese JK, Wentzel-Larsen T, Vassbotn F, Lund-Johansen M (2012) Conservative management of vestibular schwannoma-a prospective cohort study: treatment, symptoms, and quality of life. Neurosurgery 70(5):1072–1080. doi:10.1227/NEU.0b013e31823f5afa (discussion 1080)CrossRefPubMed

27.

Shaffer BT, Cohen MS, Bigelow DC, Ruckenstein MJ (2010) Validation of a disease-specific quality-of-life instrument for acoustic neuroma: the penn acoustic neuroma quality-of-life scale. Laryngoscope 120(8):1646–1654. doi:10.1002/lary.20988 CrossRefPubMed

28.

Rameh C, Magnan J (2010) Quality of life of patients following stages III-IV vestibular schwannoma surgery using the retrosigmoid and translabyrinthine approaches. Auris Nasus Larynx 37(5):546–552. doi:10.1016/j.anl.2010.01.004 CrossRefPubMed

29.

Lloyd SK, Kasbekar AV, Baguley DM, Moffat DA (2010) Audiovestibular factors influencing quality of life in patients with conservatively managed sporadic vestibular schwannoma. Otol Neurotol 31(6):968–976CrossRefPubMed

30.

Cheng S, Naidoo Y, da Cruz M, Dexter M (2009) Quality of life in postoperative vestibular schwannoma patients. Laryngoscope 119(11):2252–2257. doi:10.1002/lary.20217 CrossRefPubMed

31.

Myrseth E, Moller P, Pedersen PH, Vassbotn FS, Wentzel-Larsen T, Lund-Johansen M (2005) Vestibular schwannomas: clinical results and quality of life after microsurgery or gamma knife radiosurgery. Neurosurgery 56(5):927–935 (discussion 927–935)PubMed

32.

Di Maio S, Akagami R (2009) Prospective comparison of quality of life before and after observation, radiation, or surgery for vestibular schwannomas. J Neurosurg 111(4):855–862. doi:10.3171/2008.10.JNS081014 CrossRefPubMed

33.

Godefroy WP, Kaptein AA, Vogel JJ, van der Mey AG (2009) Conservative treatment of vestibular schwannoma: a follow-up study on clinical and quality-of-life outcome. Otol Neurotol 30(7):968–974. doi:10.1097/MAO.0b013e3181b4e3c9 CrossRefPubMed

34.

Browne S, Distel E, Morton RP, Petrie KJ (2008) Patients’ quality of life, reported difficulties, and benefits following surgery for acoustic neuroma. J Otolaryngol Head Neck Surg 37(3):417–422PubMed

35.

Vogel JJ, Godefroy WP, van der Mey AG, le Cessie S, Kaptein AA (2008) Illness perceptions, coping, and quality of life in vestibular schwannoma patients at diagnosis. Otol Neurotol 29(6):839–845. doi:10.1097/MAO.0b013e3181820246 CrossRefPubMed

36.

Nicoucar K, Momjian S, Vader JP, De Tribolet N (2006) Surgery for large vestibular schwannomas: how patients and surgeons perceive quality of life. J Neurosurg 105(2):205–212. doi:10.3171/jns.2006.105.2.205 CrossRefPubMed

37.

Baumann I, Polligkeit J, Blumenstock G, Mauz PS, Zalaman IM, Maassen MM (2005) Quality of life after unilateral acoustic neuroma surgery via middle cranial fossa approach. Acta Otolaryngol 125(6):585–591. doi:10.1080/00016480510026935 CrossRefPubMed

38.

MacAndie C, Crowther JA (2004) Quality of life in patients with vestibular schwannomas managed conservatively. Clin Otolaryngol Allied Sci 29(3):215–218. doi:10.1111/j.1365-2273.2004.00806.xCOA806 CrossRefPubMed

39.

Betchen SA, Walsh J, Post KD (2003) Self-assessed quality of life after acoustic neuroma surgery. J Neurosurg 99(5):818–823. doi:10.3171/jns.2003.99.5.0818 CrossRefPubMed

40.

Kelleher MO, Fernandes MF, Sim DW, O’Sullivan MG (2002) Health-related quality of life in patients with skull base tumours. Br J Neurosurg 16(1):16–20CrossRefPubMed

41.

Martin HC, Sethi J, Lang D, Neil-Dwyer G, Lutman ME, Yardley L (2001) Patient-assessed outcomes after excision of acoustic neuroma: postoperative symptoms and quality of life. J Neurosurg 94(2):211–216. doi:10.3171/jns.2001.94.2.0211 CrossRefPubMed

42.

Iyer AP, Gunn R, Sillars H (2010) Quality of life after vestibular schwannoma surgery: does hearing preservation make a difference? J Laryngol Otol 124(4):370–373. doi:10.1017/S0022215109992040 CrossRefPubMed

43.

Brackmann DE, House JR 3rd, Hitselberger WE (1994) Technical modifications to the middle fossa craniotomy approach in removal of acoustic neuromas. Am J Otol 15(5):614–619PubMed

44.

Gardner G, Robertson JH (1988) Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol 97(1):55–66PubMed

45.

House JW, Brackmann DE (1985) Facial nerve grading system. Otolaryngol Head Neck Surg 93(2):146–147PubMed

46.

Timmer FC, van Haren AE, Mulder JJ, Hanssens PE, van Overbeeke JJ, Cremers CW, Graamans K (2010) Quality of life after gamma knife radiosurgery treatment in patients with a vestibular schwannoma: the patient’s perspective. Eur Arch Otorhinolaryngol 267(6):867–873. doi:10.1007/s00405-009-1140-3 PubMedCentralCrossRefPubMed

47.

Park CE, Park BJ, Lim YJ, Yeo SG (2011) Functional outcomes in retrosigmoid approach microsurgery and gamma knife stereotactic radiosurgery in vestibular schwannoma. Eur Arch Otorhinolaryngol 268(7):955–959. doi:10.1007/s00405-011-1596-9 CrossRefPubMed

48.

Kondziolka D, Mousavi SH, Kano H, Flickinger JC, Lunsford LD (2012) The newly diagnosed vestibular schwannoma: radiosurgery, resection, or observation? Neurosurg Focus 33(3):E8. doi:10.3171/2012.6.FOCUS12192 CrossRefPubMed

49.

Regis J, Tamura M, Delsanti C, Roche PH, Pellet W, Thomassin JM (2008) Hearing preservation in patients with unilateral vestibular schwannoma after gamma knife surgery. In: Regis J, Roche PH (eds) Modern management of acoustic neuroma, vol 21., Prog Neurol SurgKarger, Basel, pp 142–151CrossRef

50.

Niranjan A, Mathieu D, Kondziolka D, Flickinger JC, Lunsford LD (2008) Radiosurgery for intracanalicular vestibular schwannomas. In: Regis J, Roche PH (eds) Modern management of acoustic neuroma, vol 21., Prog Neurol SurgKarger, Basel, pp 192–199CrossRef

51.

Smouha EE, Yoo M, Mohr K, Davis RP (2005) Conservative management of acoustic neuroma: a meta-analysis and proposed treatment algorithm. Laryngoscope 115(3):450–454. doi:10.1097/01.mlg.0000175681.52517.cf CrossRefPubMed

52.

Sughrue ME, Yang I, Aranda D, Lobo K, Pitts LH, Cheung SW, Parsa AT (2010) The natural history of untreated sporadic vestibular schwannomas: a comprehensive review of hearing outcomes. J Neurosurg 112(1):163–167. doi:10.3171/2009.4.JNS08895 CrossRefPubMed

53.

Regis J, Carron R, Park MC, Soumare O, Delsanti C, Thomassin JM, Roche PH (2010) Wait-and-see strategy compared with proactive Gamma Knife surgery in patients with intracanalicular vestibular schwannomas. J Neurosurg 113(Suppl):105–111. doi:10.3171/2010.8.GKS101058 PubMed

54.

Dornhoffer JL, Helms J, Höhmann DH (1995) Hearing preservation in acoustic tumor surgery: results and prognostic factors. Laryngoscope 105(2):184–187. doi:10.1288/00005537-199502000-00014 CrossRefPubMed

55.

Höhmann D, Dornhoffer JL, Helms J (1994) Auditory results after transtemporal removal of acoustic neurinoma [in German]. HNO 42(9):541–545PubMed

56.

Schwager K, Helms J (2002) The wuerzburg concept for acoustic neuroma surgery [in German]. In: Bootz F, Strauss G (eds) Die Chirurgie der lateralen Schädelbasis. Springer, Berlin, pp 76–78CrossRef

57.

Schwager K, Baier G, Helms J, Hagen R (2008) Results in otosurgically treated patients with acoustic neuroma. Part 2: hearing results after middle fossa approach [in German]. Laryngorhinootologie 87(9):629–633. doi:10.1055/s-2007-995705 CrossRefPubMed

58.

Tonn JC, Schlake HP, Goldbrunner R, Milewski C, Helms J, Roosen K (2000) Acoustic neuroma surgery as an interdisciplinary approach: a neurosurgical series of 508 patients. J Neurol Neurosurg Psychiatry 69(2):161–166PubMedCentralCrossRefPubMed

59.

Gauden A, Weir P, Hawthorne G, Kaye A (2011) Systematic review of quality of life in the management of vestibular schwannoma. J Clin Neurosci 18(12):1573–1584. doi:10.1016/j.jocn.2011.05.009 CrossRefPubMed

60.

Sandooram D, Hornigold R, Grunfeld B, Thomas N, Kitchen ND, Gleeson M (2010) The effect of observation versus microsurgical excision on quality of life in unilateral vestibular schwannoma: a prospective study. Skull Base 20(1):47–54. doi:10.1055/s-0029-1242985 PubMedCentralCrossRefPubMed

61.

Barre P, Merle C, Conessa C, Desgeorges M, Poncet JL (2004) Postoperative quality of life for patients with a vestibular schwannoma [in French]. Ann Otolaryngol Chir Cervicofac 121(2):83–94CrossRefPubMed

Titel: Quality of life after microsurgery for vestibular schwannoma via the middle cranial fossa approach
verfasst von: Matthias Scheich
Christian Ginzkey
Edith Reuter
Wilma Harnisch
Desiree Ehrmann
Rudolf Hagen
Publikationsdatum: 01.07.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 7/2014
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-013-2671-1

Neu im Fachgebiet HNO

16.04.2024 | HNO-Chirurgie | Nachrichten

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Quality of life after microsurgery for vestibular schwannoma via the middle cranial fossa approach

Abstract

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2014

Transcervical extirpation of the submandibular gland: the University of Marburg experience

Fractalkine receptor polymorphism and chronic tonsillitis

Otoplasty: results of suturing and scoring techniques

Prognostic factors of Bell’s palsy: prospective patient collected observational study

Prognostic factors for prediction of follow-up outcome of contact granuloma

Characterization of age-related changes in sacculocolic response parameters assessed by cervical vestibular evoked myogenic potentials

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO