Comparison between pre and post- operative chronic otitis media outcome (COMOT-15) in patients who underwent cartilage myringoplasty in Kathmandu University Hospital: The Nepal scenario

Authors

  • Bikash Lal Shrestha Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre
  • Ram Chhaya Man Amatya Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre
  • Ashish Dhakal Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre
  • Akash Pradhan Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre
  • Pradip Rajbhandari Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20171471

Keywords:

Audiometry, COMOT-15, Myringoplasty

Abstract

Background: The study was conducted to compare the pre and post-operative outcome of quality of life in patients who underwent cartilage myringoplasty with COMOT-15 (Chronic otitis media outcome test-15).

Methods: 37 patients were included in the study that underwent endoscopic cartilage myringoplasty. COMOT-15 questionnaire was used pre and 6 months post-operatively to see the quality of life outcome. Along with that audiological testing was also performed.  

Results: There were total 37 patients (males 19 and females 18) with the mean age of 24.32±/-11.1years, and age range of 18-61years participated in all questionings and examination. The comparison of COMOT-15 Pre and Post-operative questionnaires analysis showed statistically significant improvement in all scales except for mental health. The audiological result also showed clear association of audiometry results with hearing function.

Conclusions: The cartilage myringoplasty has beneficial effect in disease specific health related quality of life, as well there is clear association between hearing function scale and audiological evaluation. So, it is useful to perform cartilage myringoplasty wherever necessary.

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Author Biographies

Bikash Lal Shrestha, Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

Department of otorhinolaryngology and head and neck surgery,

Associate Professor

Ram Chhaya Man Amatya, Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

Department of otorhinolaryngology and head and neck surgery,

Professor

Ashish Dhakal, Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

Department of otorhinolaryngology and head and neck surgery,

Lecturer

Akash Pradhan, Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

Department of otorhinolaryngology and head and neck surgery,

Audiologists

Pradip Rajbhandari, Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kavre

Department of otorhinolaryngology and head and neck surgery,

Second year Resident

References

Nadol JB Jr, Staecker H, Gliklich RE. Outcomes assessment for chronic otitis media: the Chronic Ear Survey. Laryngoscope. 2000;110:32-5.

Verhoeff M, van der Veen EL, Rovers MM, Sanders EA, Schilder AG. Chronic suppurative otitis media: a review. Int J Pediatr Otorhinolaryngol. 2006;70(1):1-12.

Baumann I, Gerendas B, Plinkert PK, Praetorius M. General and disease-specific quality of life in patients with chronic suppurative otitis media-a prospective study. Health Qual Life Outcomes. 2011:29;9:48.

Steward MG. Outcomes and patient-based hearing status in conductive hearing loss. Laryngoscope. 2001;111:1-21.

Vlastos IM, Kandiloros D, Manolopoulos L, Ferekidis E, Yiotakis I. Quality of life in children with chronic suppurative otitis media with or without cholesteatoma. Int J Pediatr Otorhinolaryngol. 2009;73(3):363-9.

American Academy of Otolaryngology-Head Neck Surgery Foundation, Inc. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. Otolaryngol Head Neck Surg. 1995;113:186-7.

Newman CW, Weinstein BE, Jacobson GP, Hug GA. The Hearing Handicap Inventory for Adults: psychometric adequacy and audiometric correlates. Ear Hear. 1990;11:430–3.

Korsten-Meijer AGW, Wit HP, Albers FWJ. Evaluation of the relation between audiometric and psychometric measures of hearing after tympanoplasty. Eur Arch Otorhinolaryngol. 2006;263:256–62.

Meijer AGW, Wit HP, Albers FWJ. Relation between change of hearing and (modified) Amsterdam Inventory for Auditory Disability and Handicap Score. Clin Otolaryngol. 2004;29:565–70.

Koller M, Lorenz W. Survival of the quality of life concept. Br J Surg. 2003;90:1175–7.

Kumar MM, Ahmed SM, Kishore BH, Chaitanya K, Reddy VP. A Clinical study To Assess The Post-operative Outcome In Tympanoplasty Using COMOT-15 In Indian Scenario. J Of Evolution of Med and Dent Sci. 2014;3(28):7730-36.

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Published

2017-04-01

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Section

Original Research Articles