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Original Article
April 19, 2010

Quality-of-Life Assessment After Primary and Revision Ear Surgery Using the Chronic Ear Survey

Author Affiliations

Author Affiliations: Department of Otorhinolaryngology–Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Arch Otolaryngol Head Neck Surg. 2010;136(4):358-365. doi:10.1001/archoto.2010.24

Objective  To measure subjective outcomes after primary and revision surgery for chronic ear disease.

Design  Prospective questionnaire-based outcome study.

Setting  Tertiary referral center.

Patients  Adults with chronic otitis media with or without cholesteatoma.

Interventions  Primary or revision surgery for chronic ear disease.

Main Outcome Measures  The Chronic Ear Survey, a disease-specific outcome survey, was administered preoperatively and at 1 year after surgery. We analyzed the total score and the activity restriction, symptom, and medical resource utilization subscale scores. Scores were averaged on the basis of the number of questions included in each category. Differences in preoperative and postoperative scores were analyzed within and between the 2 groups. We also assessed audiometry, postoperative complications, and the clinical condition of the operated-on ear.

Results  Twenty-one patients were enrolled in the primary surgery group, and 20 were enrolled in the revision surgery group. Significant improvements in the total score and each subscale score were observed in both groups at the 1-year postoperative survey. Improvements in the total score and symptom subscale scores were greater in the primary surgery group than in the revision surgery group (P < .05). The air conduction thresholds and any postoperative clinical problems were correlated with the total score and subscale scores in the primary group but not in the revision surgery group.

Conclusion  Comparable objective outcomes are achieved after primary and revision surgery for chronic ear disease, but the improvement in quality of life is greater in the primary surgery group.