Thesis

110 Chapter 6 of the chorda tympani nerve and recovery depends on manipulation and intergrity of this nerve.8 In literature, self-reported complaints are frequently underreported or only briefly mentioned in addition to clinical outcomes, despite a gradual increase in systematic use and reporting of PROM (patient reported outcome measures). In addition, data on ear complaints in the general population, other than hearing loss or tinnitus, are hard to find. To get better insight in the extent of the different ear complaints of a patient, its effect on quality life, and also to evaluate the effect of an intervention, an ear domain specific PROM can be a valuable tool. Such a PROM, often a questionnaire, is a subjective assessment to complement objective tests, like audiometric data, providing a more comprehensive understanding of the patient’s overall experience of their ear complaints. A useful PROM in assessing subjective and multiple ear complaints is the OQUA.1,9 This PROM is domain specific which makes it more applicable in comparison Figure 1. Applicability versus specificity of different PROM types in Otology COMQ-12: Chronic Otitis Media Questuionnaire; EDTQ-7: Eustachian Tube dysfunction Questionnaire; ZCMEI-21: Zurich chronic middle ear inventory; COMOT-15: Chronic Otitis Media Outcome Test; PAN-QOL: Penn Acoustic Neuroma Quality-of-Life Scale; CES: Chronic Ear Survey; MD-POSI: Meniere’s disease PatientOriented Severity Index; ; VSQOL Index; Vestibular Schwannoma Quality Of Life Index; DHI: Dizziness Handicap Inventory; THI: Tinnitus Handicap Inventory ; AIADH: Amsterdam Inventory for Auditory Disability and Handicap; OQUA: Otology Questionnaire Amsterdam; COQOL: Cambridge Otology Quality of Life; EOS-16: Ear Outcome Survey; PROMIS-10: Patient-Reported Outcomes Measurement Information System; HUI3: Health Utilities Index; SF-36: Short Form Health Survey; WHO-5: The World Health Organisation - Five Well-Being Index

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