Severity of Tinnitus Distress Negatively Impacts Quality of Life in Patients With Vestibular Schwannoma and Mimics Primary Tinnitus

Conclusions: To our knowledge, this is the first study to investigate VS-related tinnitus with respect to both patients' hearing status and psychological condition. Our results suggest that tinnitus distress strongly affects VS patients' QoL and that its characteristics are similar to primary tinnitus. An intervention for VS-related tinnitus, therefore, should assess to what extent tinnitus bothers patients, and it should reduce any unpleasant emotions that may exacerbate symptoms. This approach should improve their QoL. Introduction Vestibular schwannoma (VS)—or acoustic neuroma—is a benign, slow-growing tumor of myelin-forming cells of the vestibulo-cochlear nerve. It usually causes progressive firstly unilateral hearing loss, then tinnitus or/and vertigo appear next, and more progressive cases shows facial paresis. An actively growing VS is disabling if it presses against nearby brain structures. Conservative management using a wait-and-scan protocol is adopted for more than half of VS patients (1). The remaining patients receive active treatment, which includes radiotherapy (gamma knife or cyber knife) and microsurgery for tumor excision (1, 2). Regardless of whether conservative management or active treatment is selected, quality of life (QoL) is decreased and anxiety is elevated (3, 4). In recent years, health-related QoL has been the primary measure to assess patient-associated outcomes in patients with VS (1, 3). The Medical Outcom...
Source: Frontiers in Neurology - Category: Neurology Source Type: research

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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Editorial Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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