Journal of Nippon Medical School: Vol.71 No.1 page.017

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ArticleTitle Subjective Evaluation and Overall Satisfaction after Tympanoplasty for Chronic Simple Suppurative Otitis Media

AuthorList Shunkichi Baba¹, Toshiaki Yagi¹ and Terumichi Fujikura²

Affiliation ¹Department of Otorhinolaryngology, Nippon Medical School
²Yatsu Hoken Hospital

Language EN

Volume 71

Issue 1

Year 2004

Page 17-24

Received May 19, 2003

Accepted August 11, 2003

Keywords chronic simple suppurative otitis media, tympanoplasty, post-operative results, visual analogue scale

Abstract A questionnaire survey was conducted in 324 patients with chronic, simple, suppurative otitis media who had undergone tympanoplasty 6 months or more previously to investigate post-operative hearing, tinnitus, vertigo, occlusive feeling of the ear and otorrhea. In addition, the overall satisfaction with tympanoplasty was assessed by VAS value.
Subjective hearing improvement was observed in 73.1% of the patients whose hearing was poor and in 50% of those whose hearing was good before the operation. The degree of satisfaction assessed by VAS value corresponded with the subjective hearing assessment.
As to tinnitus, 66.2% of the patients became aware of the disappearance or alleviation of symptoms. In the case of patients who had tinnitus before the operation, the degree of awareness of tinnitus and the degree of satisfaction assessed by VAS value coincided. However, no changes in the VAS value were observed in those who did not have tinnitus before the operation.
As for vertigo, 30.5% of the patients who had vertigo preoperatively became aware of the disappearance of the symptoms after the operation. The degree of satisfaction assessed by VAS value corresponded with the presence or absence, severity and frequency of vertigo.
As to the fullness of the ear, alleviation of the symptoms was subjectively noted by 85.9% of the patients who had symptoms before the operation. The degree of satisfaction assessed by VAS value corresponded with the severity of the symptoms in those who had symptoms before the operation.
As for otorrhea, the disappearance of the symptoms was subjectively noted by 85.5% of the patients who had otorrhea before the operation. The degree of satisfaction assessed by VAS value corresponded with the post-operative changes in otorrhea.
Based on the above results, it was assumed that the patients placed greatest expectation on hearing improvement when they underwent tympanoplasty. VAS is considered a useful method to evaluate the degree of satisfaction of patients after surgery.

Correspondence to Correspondence to Shunkichi Baba, MD, Department of Otorhinolaringology, Chiba-Hokuso Hospital, Nippon Medical School, 1715 Kamagari, Inba, Chiba 270-1694, Japan
shbaba@nms.ac.jp

ArticleTitle	Subjective Evaluation and Overall Satisfaction after Tympanoplasty for Chronic Simple Suppurative Otitis Media
AuthorList	Shunkichi Baba¹, Toshiaki Yagi¹ and Terumichi Fujikura²
Affiliation	¹Department of Otorhinolaryngology, Nippon Medical School ²Yatsu Hoken Hospital
Language	EN
Volume	71
Issue	1
Year	2004
Page	17-24
Received	May 19, 2003
Accepted	August 11, 2003
Keywords	chronic simple suppurative otitis media, tympanoplasty, post-operative results, visual analogue scale
Abstract	A questionnaire survey was conducted in 324 patients with chronic, simple, suppurative otitis media who had undergone tympanoplasty 6 months or more previously to investigate post-operative hearing, tinnitus, vertigo, occlusive feeling of the ear and otorrhea. In addition, the overall satisfaction with tympanoplasty was assessed by VAS value. Subjective hearing improvement was observed in 73.1% of the patients whose hearing was poor and in 50% of those whose hearing was good before the operation. The degree of satisfaction assessed by VAS value corresponded with the subjective hearing assessment. As to tinnitus, 66.2% of the patients became aware of the disappearance or alleviation of symptoms. In the case of patients who had tinnitus before the operation, the degree of awareness of tinnitus and the degree of satisfaction assessed by VAS value coincided. However, no changes in the VAS value were observed in those who did not have tinnitus before the operation. As for vertigo, 30.5% of the patients who had vertigo preoperatively became aware of the disappearance of the symptoms after the operation. The degree of satisfaction assessed by VAS value corresponded with the presence or absence, severity and frequency of vertigo. As to the fullness of the ear, alleviation of the symptoms was subjectively noted by 85.9% of the patients who had symptoms before the operation. The degree of satisfaction assessed by VAS value corresponded with the severity of the symptoms in those who had symptoms before the operation. As for otorrhea, the disappearance of the symptoms was subjectively noted by 85.5% of the patients who had otorrhea before the operation. The degree of satisfaction assessed by VAS value corresponded with the post-operative changes in otorrhea. Based on the above results, it was assumed that the patients placed greatest expectation on hearing improvement when they underwent tympanoplasty. VAS is considered a useful method to evaluate the degree of satisfaction of patients after surgery.
Correspondence to	Correspondence to Shunkichi Baba, MD, Department of Otorhinolaringology, Chiba-Hokuso Hospital, Nippon Medical School, 1715 Kamagari, Inba, Chiba 270-1694, Japan shbaba@nms.ac.jp