nach oben

European Archives of Oto-Rhino-Laryngology

Erschienen in:

28.09.2020 | Rhinology

Quality-of-life evaluation for patients submitted to nasal endoscopic surgery for resection of pituitary tumours

verfasst von: Ricardo Landini Lutaif Dolci, Lígia Tédde de Moraes, Ana Carolina Mayor de Carvalho, Jeniffer Cristina Kozechen Rickli, Jamile Lopes de Souza, Williams Escalante Encinas, José Viana Lima Junior, Nilza Maria Scalissi, Américo Rubens Leite dos Santos, Paulo Roberto Lazarini

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 5/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This study aimed to evaluate the pre- and post-operative quality-of-life of patients submitted to the resection of pituitary adenoma via endoscopic transsphenoidal.

Methods

This was a prospective study on patients submitted to endoscopic transsphenoidal pituitary surgery with the harvest of a nasoseptal flap who responded to the questionnaires FV-36 and SNOT-22 in the pre-operative and in months 1, 3 and 6 following the surgical procedure.

Results

A total of 42 patients submitted to pituitary adenoma resection surgery via endoscopic transsphenoidal with a nasoseptal flap were recruited. In all of the physical and mental domains (SF-36) evaluated, there was an improvement in the long-term evaluation (6 months), compared to the pre-operative, as well as in the site-specific evaluation (SNOT-22).

Conclusion

The global and site-specific questionnaires in the 6th post-operative month follow-up presented an important improvement in all the physical and mental domains evaluated, as well as in nasal function in the perception of the patients submitted to pituitary adenoma resection via endoscopic transsphenoidal, demonstrating the safety and efficiency of the procedure.

World Health Organization WHOQOL: Measuring quality of life. In: 1993. https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/. Accessed 23 May 2020

Abergel A, Cavel O, Margalit N et al (2012) Comparison of quality of life after transnasal endoscopic vs open skull base tumor resection. Arch Otolaryngol Head Neck Surg 138:142–147. https://doi.org/10.1001/archoto.2011.1146CrossRefPubMed

Lima MG, de Barros MBA, César CLG et al (2009) Health related quality of life among the elderly: A population-based study using sf-36 survey. Cad Saude Publica 25:2159–2167. https://doi.org/10.1590/s0102-311x2009001000007CrossRefPubMed

Lang DA, Neil-Dwyer G, Garfield J (1999) Outcome after complex neurosurgery: the caregiver’s burden is forgotten. J Neurosurg 91:359–363. https://doi.org/10.3171/jns.1999.91.3.0359CrossRefPubMed

Pant H, Bhatki AM, Snyderman CH et al (2010) Quality of life following endonasal skull base surgery. Skull Base 20:35–40. https://doi.org/10.1055/s-0029-1242983CrossRefPubMedPubMedCentral

McCoul ED, Anand VK, Bedrosian JC, Schwartz TH (2012) Endoscopic skull base surgery and its impact on sinonasal-related quality of life. Int Forum Allergy Rhinol 2:174–181. https://doi.org/10.1002/alr.21008CrossRefPubMed

McCoul ED, Anand VK, Schwartz TH (2012) Improvements in site-specific quality of life 6 months after endoscopic anterior skull base surgery: a prospective study—clinical article. J Neurosurg 117:498–506. https://doi.org/10.3171/2012.6.JNS111066CrossRefPubMed

Bedrosian JC, Mccoul ED, Raithatha R et al (2013) A prospective study of postoperative symptoms in sinonasal quality-of-life following endoscopic skull-base surgery: dissociations based on specific symptoms. Int Forum Allergy Rhinol 3:664–669. https://doi.org/10.1002/alr.21161CrossRefPubMed

McCoul ED, Bedrosian JC, Akselrod O, Anand VKST (2015) Preservation of multidimensional quality-of-life after endoscopic resection of pituitary adenoma. J Neurosurg 73:813–820. https://doi.org/10.3171/2014.11.JNS14559CrossRef

10.

Gil Z, Abergel A, Spektor S et al (2004) Development of a cancer-specific anterior skull base quality-of-life questionnaire. J Neurosurg 100:813–819. https://doi.org/10.3171/jns.2004.100.5.0813CrossRefPubMed

11.

De Almeida JR, Vescan AD, Gullane PJ et al (2012) Development of a disease-specific quality-of-life questionnaire for anterior and central skull base pathology—the skull base inventory. Laryngoscope 122:1933–1942. https://doi.org/10.1002/lary.23426CrossRefPubMed

12.

Servelhere KR, Fernandes YB, Ramina R, Borges G (2011) Aplicação da escala SF-36 empacientesoperados de tumores da base do crânio. Arq Bras Neurocir Brazil Neurosurg 30:69–75. https://doi.org/10.1055/s-0038-1626496CrossRef

13.

Martinez TY, Pereira CAC, do Santos ML et al (2000) Evaluation of the short-form 36-item questionnaire to measure health-related quality of life in patients with idiopathic pulmonary fibrosis. Chest 117:1627–1632. https://doi.org/10.1378/chest.117.6.1627CrossRefPubMed

14.

Alonso J, Ferrer M, Gandek B et al (2004) Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Qual Life Res 13:283–298. https://doi.org/10.1023/B:QURE.0000018472.46236.05CrossRefPubMed

15.

Hopkins C, Gillett S, Slack R et al (2009) Psychometric validity of the 22-item Sinonasal Outcome Test. ClinOtolaryngol 34:447–454. https://doi.org/10.1111/j.1749-4486.2009.01995.xCrossRef

16.

Castle-Kirszbaum M, Wang YY, King J et al (2020) Patient Wellbeing and Quality of Life After Nasoseptal Flap Closure for Endoscopic Skull Base Reconstruction. J ClinNeurosci 74:87–92. https://doi.org/10.1016/j.jocn.2020.01.072CrossRef

17.

Alobid I, Enseñat J, Mariño-Sánchez F et al (2013) Expanded endonasal approach using vascularized septal flap reconstruction for skull base tumors has a negative impact on sinonasal symptoms and quality of life. Am J Rhinol Allergy 27:426–431. https://doi.org/10.2500/ajra.2013.27.3932CrossRefPubMed

18.

Ransom ER, Doghramji L, Palmer JN, Chiu AG (2012) Global and disease-specific health-related quality of life after complete endoscopic resection of anterior skull base neoplasms. Am J Rhinol Allergy 26:76–79. https://doi.org/10.2500/ajra.2012.26.3713CrossRefPubMed

19.

Zimmer LA, Shah O, Theodosopoulos PV (2014) Short-term quality-of-life changes after endoscopic pituitary surgery rated with SNOT-22. J NeurolSurg Part B Skull Base 75:288–292. https://doi.org/10.1055/s-0034-1372464CrossRef

20.

Jalessi M, Jahanbakhshi A, Amini E et al (2016) Impact of nasoseptal flap elevation on sinonasal quality of life in endoscopic endonasal approach to pituitary adenomas. Eur Arch Oto-Rhino-Laryngol 273:1199–1205. https://doi.org/10.1007/s00405-015-3729-zCrossRef

21.

Riley CA, Tabaee A, Conley L et al (2019) Long-term sinonasal outcomes after endoscopic skull base surgery with nasoseptal flap reconstruction. Laryngoscope 129:1035–1040. https://doi.org/10.1002/lary.27637CrossRefPubMed

22.

Choi KJ, Ackall FY, Truong T et al (2019) Sinonasal quality of life outcomes after extended endonasal approaches to the skull base. J NeurolSurg Part B Skull Base 80:416–423. https://doi.org/10.1055/s-0038-1675592CrossRef

23.

Chaudhry S, Chaudhry S, Qureshi T, Batra PS (2017) Evolution of sinonasal symptoms and mucosal healing after minimally invasive pituitary surgery. Am J Rhinol Allergy 31:117–121. https://doi.org/10.2500/ajra.2017.31.4407CrossRefPubMed

24.

Harvey RJ, Winder M, Davidson A et al (2015) The olfactory strip and its preservation in endoscopic pituitary surgery maintains smell and sinonasal function. J NeurolSurg Part B Skull Base 76:464–470. https://doi.org/10.1055/s-0035-1554905CrossRef

25.

Sowerby LJ, Gross M, Broad R, Wright ED (2013) Olfactory and sinonasal outcomes in endoscopic transsphenoidal skull-base surgery. Int Forum Allergy Rhinol 3:217–220. https://doi.org/10.1002/alr.21103CrossRefPubMed

26.

Bhenswala PN, Schlosser RJ, Nguyen SA et al (2019) Sinonasal quality-of-life outcomes after endoscopic endonasal skull base surgery. Int Forum Allergy Rhinol 9:1105–1118. https://doi.org/10.1002/alr.22398CrossRefPubMed

27.

Little AS, Jahnke H, Nakaji P et al (2012) The anterior skull base nasal inventory (ASK nasal inventory): a clinical tool for evaluating rhinological outcomes after endonasal surgery for pituitary and cranial base lesions. Pituitary 15:513–517. https://doi.org/10.1007/s11102-011-0358-4CrossRefPubMed

28.

Little AS, Kelly D, Milligan J et al (2013) Prospective validation of a patient-reported nasal quality-of-life tool for endonasal skull base surgery: the anterior skull base nasal inventory-12. J Neurosurg 119:1068–1074. https://doi.org/10.3171/2013.3.JNS122032CrossRefPubMed

29.

ten Dam E, Korsten-Meijer AGW, Hoving EW et al (2019) Evaluation of the psychometric properties of the endoscopic endonasal sinus and skull base surgery questionnaire (EES-Q) in a prospective cohort study. ClinOtolaryngol 44:565–571. https://doi.org/10.1111/coa.13334CrossRef

30.

Wagner A, Shiban Y, Kammermeier V et al (2019) Quality of life and emotional burden after transnasal and transcranial anterior skull base surgery. ActaNeurochir (Wien) 161:2527–2537. https://doi.org/10.1007/s00701-019-04062-5CrossRef

31.

Lindsay JR, Nansel T, Baid S et al (2006) Long-term impaired quality of life in Cushing’s syndrome despite initial improvement after surgical remission. J ClinEndocrinolMetab 91:447–453. https://doi.org/10.1210/jc.2005-1058CrossRef

32.

Johnson MD, Woodburn CJ, Lee Vance M (2003) Quality of life in patients with a pituitary adenoma. Pituitary 6:81–87. https://doi.org/10.1023/B:PITU.0000004798.27230.edCrossRefPubMed

33.

Page RCL, Hammersley MS, Burke CW, Wass JAH (1997) An account of the quality of life of patients after treatment for non-functioning pituitary tumours. ClinEndocrinol (Oxf) 46:401–406. https://doi.org/10.1046/j.1365-2265.1997.1400957.xCrossRef

34.

Rioja E, Bernal-Sprekelsen M, Enriquez K et al (2016) Long-term outcomes of endoscopic endonasal approach for skull base surgery: a prospective study. Eur Arch Oto-Rhino-Laryngol 273:1809–1817. https://doi.org/10.1007/s00405-015-3853-9CrossRef

35.

Kuan EC, Yoo F, Chyu J et al (2018) Quality of life before and after endoscopic pituitary surgery as measured by the short-form-36. J NeurolSurg Part B Skull Base 79:314–318. https://doi.org/10.1055/s-0037-1608648CrossRef

36.

Wolf A, Coros A, Bierer J et al (2017) Quantitative evaluation of vision-related and health-related quality of life after endoscopic transsphenoidal surgery for pituitary adenoma. J Neurosurg 127:409–416. https://doi.org/10.3171/2016.7.JNS16200CrossRefPubMed

37.

van der Meulen M, ZamanipoorNajafabadi AH, Lobatto DJ et al (2020) SF-12 or SF-36 in pituitary disease? Toward concise and comprehensive patient-reported outcomes measurements. Endocrine. https://doi.org/10.1007/s12020-020-02384-4CrossRefPubMedPubMedCentral

38.

Ishikawa T, Takeuchi K, Nagatani T et al (2019) Quality of life changes before and after transsphenoidal surgery for sellar and parasellar lesions. World Neurosurg 122:e1202–e1210. https://doi.org/10.1016/j.wneu.2018.11.017CrossRefPubMed

39.

Wang S, Chen Y, Li J et al (2015) Olfactory function and quality of life following microscopic endonasaltranssphenoidal pituitary surgery. Medicine (United States) 94:1–11. https://doi.org/10.1097/MD.0000000000000465CrossRef

40.

Schreiber A, Bertazzoni G, Ferrari M et al (2019) Nasal morbidity and quality of life after endoscopic transsphenoidal surgery: a single-center prospective study. World Neurosurg 123:e557–e565. https://doi.org/10.1016/j.wneu.2018.11.212CrossRefPubMed

41.

Little AS, Kelly DF, Milligan J et al (2015) Comparison of sinonasal quality of life and health status in patients undergoing microscopic and endoscopic transsphenoidal surgery for pituitary lesions: a prospective cohort study. J Neurosurg 123:799–807. https://doi.org/10.3171/2014.10.JNS14921CrossRefPubMed

Titel: Quality-of-life evaluation for patients submitted to nasal endoscopic surgery for resection of pituitary tumours
verfasst von: Ricardo Landini Lutaif Dolci
Lígia Tédde de Moraes
Ana Carolina Mayor de Carvalho
Jeniffer Cristina Kozechen Rickli
Jamile Lopes de Souza
Williams Escalante Encinas
José Viana Lima Junior
Nilza Maria Scalissi
Américo Rubens Leite dos Santos
Paulo Roberto Lazarini
Publikationsdatum: 28.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 5/2021
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06381-1

Update HNO

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

Newsletter bestellen

Springer Medizin

Quality-of-life evaluation for patients submitted to nasal endoscopic surgery for resection of pituitary tumours