Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media
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OTOLOGY
Impact of depressive disorders on quality of life after middle ear surgery in patients with chronic otitis media Susen Lailach1 · Theresa Langanke1 · Thomas Zahnert1 · Susan Garthus‑Niegel2,3,4 · Marcus Neudert1 Received: 14 July 2020 / Accepted: 23 September 2020 © The Author(s) 2020
Abstract Purpose The aim of this study was to determine whether preoperative depressive symptoms influence health-related quality of life (HRQOL) after middle ear surgery in patients with chronic otitis media (COM). Methods This prospective clinical case study was conducted at a tertiary referral center. All 102 patients who had undergone middle ear surgery for COM were assessed clinically and by audiometric testing (pure tone audiometry) in pre- and postoperative settings. Disease-specific HRQOL was assessed by the validated chronic otitis media outcome test 15 (COMOT-15) and the Zurich chronic middle ear inventory (ZCMEI-21). General HRQOL was measured using the short form 36 (SF-36). Depressive symptoms were assessed using the patient health questionnaire (PHQ-D). The Charlson comorbidity index (CCI) was used to classify comorbidities. The middle ear status was determined using the ossiculoplasty outcome parameter staging (OOPS) index. Results After middle ear surgery, the total COMOT-15 and ZCMEI-21 scores improved significantly (p
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