Health Related Quality of Life after Canal Wall Down Mastoidectomy with tympanoplasty using the chronic otitis media questionnaire-12 (COMQ12)

Mohammed Sardar  Sami; Abdulkhalq  Emin; Lana  Abdulrazaq

doi:10.56056/amj.2022.150

Authors

Mohammed Sardar Sami M.B.Ch.B. KBMS trainee. Rizgary teaching hospital
Abdulkhalq Emin M.B.Ch.B , PHD, Hawler medical university, college of medicine department of otolaryngology
Lana Abdulrazaq M.B.Ch.B , HD Hawler medical university college of medicine department of otolaryngology

DOI:

https://doi.org/10.56056/amj.2022.150

Keywords:

Chronic otitis media, Canal wall down mastoidectomy, COMQ12; Quality of life

Abstract

Background and objectives: To assess the quality of life after canal wall down mastoidectomy in patients operated for chronic otitis media both mucosal and squamosal types.

Methods: Quasi-experimental study design, conducted on fifty patients who were candidates for canal wall down mastoidectomy, between (September 2016 to September 2019). All patients were questioned before the operation and one year after the operation using the Quality of life questionnaire for chronic otitis media (COMQ12).

Results: fifty patients, mean age ± SD was 36.52 ± 10.85, The highest proportion (40%) of the sample aged 35-44 years, and around half (52%) were male. The mean total score of the COMQ12 before the operation was 25.94, which decreased to 10.56 after the operation. There was a significant improvement in ear symptoms regarding discharging ear and offensive odor post-operatively, and also a reduction in doctors visit for taking medications and fear from showering, there was a non-significant change in questions regarding dizziness, tinnitus, and discomfort around the ear, post operatively regarding questions related to the hearing there was significant deterioration post-operatively.

Conclusions: Canal wall down with type III tympanoplasty showed a clear decrease in the severity of the ear symptoms, impact on life and work, and health care after surgery. The hearing was the only disabling factor that negatively affect outcomes in postoperative quality of life.

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