2022 Early Hearing Detection & Intervention Virtual Conference

March 13 - 15, 2022

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10/13/2017 | 1:45 PM - 2:45 PM | Quality of life of patients with chronic otitis media in Nepal before and after corrective surgery | East Ballroom at Shalala Student Services Building

Quality of life of patients with chronic otitis media in Nepal before and after corrective surgery

Hearing impairment is a significant burden in Low and Middle Income Countries (LMIC). Traditionally this burden has been quantified by defining "disabling hearing loss" in purely audiological terms. Using decibel measures in isolation fails to capture the true impact of hearing loss at a societal level. There have very few, if any, published attempts to undertake formal quality of life (QoL) estimations in patients with hearing loss in resource poor settings. We aimed to amend and translate the Glasgow Health Status Inventory (GHSI), assessing QoL at any given time, and the Glasgow Benefit Inventory (GBI), following intervention, into Nepali and to assess the impact of ear disease and effect of surgery on QoL. The GHSI was administered to 242 patients with chronic otitis media. Cholesteatoma was present in 37 patients. The mean GHSI score was 47.9. The GBI was administered to 161 patients with the mean score being +38.4. Ear disease in Nepal is associated with reduced QoL, and surgical intervention is associated with improved QoL. There are few QoL measures suitable for LMIC. It is essential to invest in these measures to guide health interventions. QoL interviews also provide insight into the individual stories of stigmatisation and disability for those affected with deafness. This study was undertaken as part of the Britain Nepal Otology Service. The basis of this programme is comprehensive primary ear care delivered by community ear assistants. With efficient coordination and partnership high quality surgical intervention can be incorporated into a sustainable and comprehensive ear care programme in a LMIC setting.

Understanding the power of Quality of Life instruments as measures of the effect of hearing loss
Presenting the impact of chronic otitis media on quality of life
Discussing how corrective surgery can be incorporated into a comprehensive ear care programme in a LMIC setting

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Presenters/Authors

Robin Youngs (), Gloucestershire Hospitals NHS Foundation Trust, ryoungs@blueyonder.co.uk;
Consultant Otologist with an interest in Global Health Lead for Global Health - ENTUK Senior Editor - The Journal of Laryngology and Otology