title: Outcome-based assessment of endolymphatic sac surgery for Meniere's disease.
abstract: This study reports the preliminary results of an outcomes approach to analysis of the effectiveness of endolymphatic sac decompression (ELSD). Using the medical outcomes survey's 36-item, short-form health survey (SF-36), we assessed the quality of life in 33 patients with disabling Meniere's disease undergoing ELSD for medically intractable vertigo. Results indicate that patients with 1995 American Academy of Otolaryngology--Head and Neck Surgery (AAO/HNS) class A or B outcomes showed no significant difference from population norms on the SF-36, whereas patients with AAO/HNS classes C to E outcomes scored significantly below norms. Six patients who were given the SF-36 preoperatively scored consistently below population norms. Postoperatively, they showed a statistically significant improvement and were statistically equal to norms. These findings suggest that the SF-36 is a good measure of the quality of life impairment in patients with disabling Meniere's disease. In addition, SF-36 scores correlated well with the 1995 AAO/HNS classification.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin Hospital and Clinics, Madison 53792-3236, U.S.A.
authors.forename: D R
authors.initials: DR
authors.lastname: Smith
authors.forename: G M
authors.initials: GM
authors.lastname: Pyle
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D016022:Case-Control Studies; D007758:Ear, Inner / Q000601:surgery; D004712:Endolymphatic Sac / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008575:Meniere Disease / Q000523:psychology / Q000601:surgery*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D011788:Quality of Life; D012826:Silicone Elastomers; D015607:Stents; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014717:Vertigo / Q000523:psychology / Q000601:surgery
chemical_list: D012826:Silicone Elastomers