Otology & Neurotology

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Otology & Neurotology:
September 2007 - Volume 28 - Issue 6 - pp 814-821
doi: 10.1097/MAO.0b013e31811f40ad
Tumors of the Ear and Cranial Base

Balance Impairment After Acoustic Neuroma Surgery

Tufarelli, Davide; Meli, Annalisa; Labini, Francesca Sylos; Badaracco, Carlo; Angelis, Ezio De; Alesii, Annalisa; Falcioni, Maurizio; Sanna, Mario

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Abstract

Objective: The aim of this study was to assess the incidence of balance problems after acoustic neuroma surgery, evaluating whether disequilibrium is disabling.

Study Design: Retrospective observational study.

Setting: Rehabilitation center.

Patients: A group of 386 patients who underwent acoustic neuroma surgery.

Interventions: Patients were selected from a population of 459 subjects who had undergone surgery for acoustic neuroma.

Mean Outcome Measures: The Dizziness Handicap Inventory, The Activities-specific Balance Confidence Scale (ABC), and a specific questionnaire on oscillopsia.

Results: The specific questionnaire emphasized that 39 patients (10.10%) perceived disequilibrium as disabling, and the oscillopsia handicap score result was moderate in 73.32% of the sample, mild in 21.50%, and severe in 5.18% of patients.

The Dizziness Handicap Inventory and ABC scales revealed the presence of handicap and disability due to disequilibrium and the influence of some variables such as sex and a higher oscillopsia handicap score. Dizziness Handicap Inventory and ABC scores were higher in symptomatic patients.

Conclusion: Disequilibrium influences handicap and disability after acoustic neuroma surgery. This symptom is also present after several years since surgery, and some patients perceived disequilibrium as disabling.

© 2007 Otology & Neurotology, Inc.

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