Publication: Burden of chronic otitis media- mucosal type and the impact of its surgical management in the quality of life of patients in a tertiary hospital
Date
2020
Article Type
Original Article
Journal Title
Journal ISSN
2091-0843
Volume Title
Pages
Pages: 19 - 24
Publisher
Society of Otolaryngologists of Nepal
Abstract
Abstract:
Objective: The objective of this study was to assess the burden of COM-mucosal disease and analyse the general and disease-specific quality of life (QOL) in patients after myringoplasty.
Materials and Methods: The study was conducted in the department of ENT and Head & Neck Surgery (HNS) from 1st December 2019 to 1st June 2020. The data was collected from the initial three months of the mentioned duration. For the assessment of the burden of COM-mucosal disease in the department all the patients visiting with the aforementioned diagnosis was recorded and compared with the total patient visit in the department in the three months duration. Sixty patients were included in the study for the QOL assessment after myringoplasty. Patients who had undergone myringoplasty filled the quality-of-life questionnaires. The means of the pre and postoperative values were compared and the benefit in their quality of life evaluated.
Results: The prevalence of COM-mucosal disease among the total new patients visited in the outpatient department of the hospital was 5.4%. Diseasespecific QOL in patients with COM improved after myringoplasty in all the scales of the questionnaire. All the activity/lifestyles scores, medical help scores and symptom scores showed statistically significant improvement after surgery.
Conclusion: There is a high burden of the COM-mucosal disease. Myringoplasty did lead to a significant improvement of disease-specific QOL in patients with COM- mucosal type.
Keywords: COM- mucosal, Myringoplasty, Quality of life (QOL)
Description
Pabina Rayamajhi
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Poonam Aggarwal
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Heempali Das Dutta
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Prashant Tripathi
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Bijaya Kharel
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Rabindra Bhakta Pradhananga
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Yogesh Neupane
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Kripa Dongol
Department of ENT and Head-Neck Surgery, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Institute of Medicine, Kathmandu, Nepal
Keywords
COM- mucosal, Myringoplasty, Quality of life (QOL)