ORIGINAL RESEARCH
Evaluation of the Effect of Chronic Otitis Media Disease Severity on Quality of Life with Chronic Otitis Media Questionnaire Test 12
Kronik Otitis Media Hastalık Şiddetinin Yaşam Kalitesine Etkisinin Kronik Otitis Media Anketi 12 ile Değerlendirilmesi
Received Date : 19 Oct 2020
Accepted Date : 13 Jan 2021
Available Online : 17 Mar 2021
Selda KARGIN KAYTEZa, Ramazan ÖCALa, Hatice ÇELİKa, Necmi ARSLANa, Songül DURSUNb, Özlem AKKOCAa
,
aDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Health Sciences Ankara Training and Research Hospital, Ankara, TURKEY bClinic of Otorhinolaryngology-Head and Neck Surgery, Artvin State Hospital, Artvin, TURKEY
Doi: 10.24179/kbbbbc.2020-79653 - Makale Dili: EN
KBB ve BBC Dergisi. 2021;29(2):100-6
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: To evaluate the effect of chronic otitis media
(COM) disease severity on quality of life with Chronic Otitis Media
Questionnaire Test 12 (COMQ-12). Material and Methods: 85 patients
aged 18 and over who were operated for the first time with the diagnosis
of COM were included in the study. The patients were
requested to answer the COMQ-12 before surgery. The severity of the
disease was determined according to the pre-operative examinations
and the findings detected during the operation. The conditions of the
tympanic membrane, degree of hearing loss, computerized tomography
(CT) findings, surgery findings, type of surgery (canal wall up vs
canal wall down), and whether or not mastoidectomy procedure was
done were all documented. All the data about examination findings
were checked individually with COMQ-12’s total score and subscores.
Results: 85 patients with a mean age of 40.45±13.99 (18-64) were included
in the study. The mean total COMQ-12 score was 27.75±11.61
(5-54). No correlation was found between total COMQ-12 score and the
degrees of hearing loss (p: 0.709), CT findings (p: 0.715), tympanic
membrane perforation type (p: 0.953), tympanic membrane adhesion
type (p: 0.147), presence of granulation tissue (p: 0.399), ossicular chain
discontinuity (p: 0.748), presence of cholesteatoma (p: 0.784) and type
of surgery (p: 0.295). Conclusion: The impact of COM on quality of
life may not be consistent with the severity of the disease evaluated by
physicians. Patients need to be well informed to understand the importance
of the disease and possible complications.
Keywords: Otitis media; suppurative; quality of life; surveys and questionnaires
ÖZET
Amaç: Kronik otitis media (KOM) hastalık şiddetinin hayat kalitesine
olan etkisini, Kronik Otitis Media Anketi 12 [Chronic Otitis
Media Questionnaire Test 12 (COMQ-12)] ile değerlendirmek. Gereç
ve Yöntemler: KOM tanısı ile ilk kez opere edilen, yaşları 18 ve üzeri
olan 85 hasta çalışmaya alındı. Hastaların, ameliyat öncesi COMQ-12
anketini cevaplamaları istendi. Hastalık şiddeti, operasyon öncesi yapılan
tetkiklerinden ve operasyonda tespit edilen bulgulara göre belirlendi.
Timpanik membranın durumu, işitme kaybının derecesi,
bilgisayarlı tomografi (BT) bulguları, cerrahi sırasındaki bulgular, operasyon
şekli (intakt kanal veya “canal wall down”) ve mastoidektomi
yapılıp yapılmadığı kaydedildi. Toplanan klinik veriler, COMQ-12 toplam
skorları ve alt skorları ile ayrı ayrı karşılaştırıldı. Bulgular: Çalışmaya
dâhil edilen 85 hastanın yaş ortalaması 40,45±13,99 (18-64) idi.
Ortalama toplam COMQ-12 skoru 27,75±11,61 (5-54) olarak bulundu.
Toplam COMQ-12 skoru ile işitme kaybı derecesi (p: 0,709), BT bulguları
(p: 0,715), timpanik membran perforasyon tipi (p: 0,953), adezyon
tipi (p: 0,147), granülasyon dokusu varlığı (p: 0,399), kemikçik
zincir kopukluğu (p: 0,748), kolesteatoma varlığı (p: 0,784) ve cerrahi
tipi (p: 0,295) arasında korelasyon bulunmadı. Sonuç: KOM hastalığının
yaşam kalitesi üzerindeki etkisi, klinisyenler tarafından değerlendirilen
hastalık şiddeti ile uyumlu olmayabilir. Hastaların, hastalığın
önemini ve olası komplikasyonları doğru anlayabilmeleri açısından iyi
bilgilendirilmeleri gerekmektedir.
Anahtar Kelimeler: Otitis media; süpüratif; yaşam kalitesi; sörveyler ve anketler
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