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Evaluation of quality of life issues after different management policies for vestibular schwannomas: what are we measuring?

Badr Eldin Mostafa


PURPOSE: To compare the different quality of life measures used to report the outcomes of the different forms of management of vestibular schwannomas.
METHODS: Literature search and critical evaluation of outcome measures and comparison between different studies.
RESULTS: A total number of 6749 patients were included in 31 studies. Eighteen studies used the SF36 forms, 17 - custom questionnaires, 7 - the GBI and 8 used various other questionnaires. The most commonly reported handicaps included hearing loss, facial nerve paralysis, tinnitus, gait and balance disorders, pain and headache, psychological and cognitive problems, loss of taste and lacrimation and facial hypoesthesia.
CONCLUSIONS: When evaluating QOL issues in patients with vestibular schwannoma, the type of intervention as well as the pre-interventional status should be considered. More specific comprehensive systems of evaluation should be devised through the cooperation of multiple centers with different management policies and variable patient populations as well.


vestibular schwannoma; quality of life measures; microsurgery; follow-up

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About The Author

Badr Eldin Mostafa
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt

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