청신경종양 수술 후 삶의 질 평가

Abstract

Objectives This study was performed to assess patients’chief complaint and quality of life after acoustic neuroma surgery and compare the results of quality of life(QOL)between surgery and gamma knife surgery groups. Methods From 2001 to 2005, 35 patients underwent surgery via translabyrinthine approach in Otolaryngology and Head & Neck Surgery department and 37 patients underwent gamma knife surgery in neurosurgery department. An open-endedquestionnaire about postoperative main complaint and the Short Form 36(SF-36) QOL instrument were used. Results The response rates about questionnaire in the surgery group and gamma knife surgery group were 71 %( 25 patients) and 54%(20 patients) , respectively. Dizziness was the most disabling symptom in patients after surgery. The most frequent symptom, hearing loss seems to be less important in the patients’perception. In patients who were operated on for acoustic tumor, the QOL showed significantly lower score than normal population. Age had significant influence on the quality of life results while tumor size had no significant effect. No significant difference in quality of life between the surgery and gamma knife surgery group was noted, although the latter showed slightly higher score than the former. Conclusions Because dizziness is the main complaint in patients after surgery via translabyrinthe approach, vestibular rehabilitation exercises are necessary. Patients who are due to surgery or radiosurgery should be informed about the potential risk of deterioration in their quality of life.