دورية أكاديمية
Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas.
| العنوان: | Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas. |
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| المؤلفون: | Gillard DM; Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine., Jiam NT; Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine., Morshed RA; Department of Neurosurgery, University of California San Francisco, San Francisco, California., Bhutada AS; Virginia Tech Carilion School of Medicine, Roanoke, Virginia., Crawford ED; Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine., Braunstein SW; Department of Radiation Oncology, University of California San Francisco., Sabes JH; Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco School of Medicine., Theodosopoulos PV; Department of Neurosurgery, University of California San Francisco, San Francisco, California., Cheung SW |
| المصدر: | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2023 Jun 01; Vol. 44 (5), pp. e333-e337. Date of Electronic Publication: 2023 Apr 16. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001- |
| مواضيع طبية MeSH: | Meningioma*/complications , Meningioma*/surgery , Meningioma*/pathology , Meningeal Neoplasms*/complications , Tinnitus*/etiology , Tinnitus*/pathology , Skull Base Neoplasms*/complications, Humans ; Dizziness/etiology ; Quality of Life ; Retrospective Studies ; Hearing ; Treatment Outcome ; Vertigo ; Cranial Fossa, Posterior |
| مستخلص: | Objective: To compare hearing, tinnitus, balance, and quality-of-life treatment outcomes of petroclival meningioma and nonpetroclival cerebellopontine angle meningioma cohorts. Study Design: A retrospective cohort study of 60 patients with posterior fossa meningiomas, 25 petroclival and 35 nonpetroclival, who were treated at a single tertiary care center between 2000 and 2020. Intervention: A survey battery that included the Hearing Effort of the Tumor Ear, Speech and Spatial Qualities of Hearing, Tinnitus Functional Index, Dizziness Handicap Inventory (DHI), and Short Form Health Survey. Petroclival and nonpetroclival cohorts were matched for tumor size and demographic features. Main Outcome Measures: Differences between groups in hearing, balance outcomes, and quality of life and patient factors that influence posttreatment quality of life. Results: Petroclival meningioma patients reported poorer audiovestibular outcomes with a higher rate of deafness in the tumor ear (36.0% versus 8.6%, p = 0.032) and lower functional hearing by the Hearing Effort of the Tumor Ear, Speech and Spatial Qualities of Hearing (76.6 [6.1] versus 82.0 [4.4], p < 0.001). Current dizziness rate was higher (48.0% versus 23.5%, p = 0.05), with more severe dizziness by DHI (18.4 [4.8] versus 5.7 [2.2], p < 0.001). Both cohorts had similar high quality of life and low tinnitus severity indices. Quality-of-life Short Form Health Survey predictors were tumor size ( p = 0.012) and DHI ( p = 0.005) in multivariable analysis. Conclusions: Hearing and dizziness treatment outcomes of petroclival meningioma are poorer relative to other posterior fossa meningiomas. Despite audiovestibular outcome distinctions, the overall posttreatment quality of life was high for both petroclival and nonpetroclival meningioma. Competing Interests: The author discloses no conflicts of interest. (Copyright © 2023, Otology & Neurotology, Inc.) |
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| تواريخ الأحداث: | Date Created: 20230419 Date Completed: 20230515 Latest Revision: 20230516 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/MAO.0000000000003864 |
| PMID: | 37072914 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1537-4505 |
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| DOI: | 10.1097/MAO.0000000000003864 |