Gesundheitsbezogene Lebensqualität bei der chronischen Otitis media – Messmethoden und deren Anwendung bei chirurgischen Therapien

Research output: Contribution to journalReview articleContributedpeer-review


  • David Bächinger - , Ruhr University Bochum (Author)
  • Marcus Neudert - , Department of Otorhinolaryngology, Head and Neck Surgery (Author)
  • Stefan Dazert - , Ruhr University Bochum (Author)
  • Christof Röösli - , University of Zurich (Author)
  • Alexander Huber - , University of Zurich (Author)
  • Robert Mlynski - , University of Rostock (Author)
  • Nora M. Weiss - , Ruhr University Bochum (Author)


Background: Chronic otitis media (COM) can lead to significant impairment of health-related quality of life (HRQoL) due to symptoms such as otorrhea, pain, hearing loss, tinnitus, or dizziness. A systematic assessment of HRQoL in COM is becoming increasingly important as it complements (semi-)objective outcome parameters in clinical practice and research. HRQoL is measured by means of patient-reported outcome measures (PROMs). There are two disease-specific validated PROMs available for COM in German—the Chronic Otitis Media Outcome Test (COMOT-15) and the Zurich Chronic Middle Ear Inventory (ZCMEI-21)—which have become increasingly popular in recent years. Objective: The purpose of this narrative review is to present the current state of research on measuring HRQoL in COM before and after surgical procedures. Results and conclusion: Hearing is the most important factor influencing HRQoL in COM. Surgical procedures usually result in a clinically relevant improvement in HRQoL in COM with or without cholesteatoma. However, if cholesteatoma is present, its extent does not correlate with HRQoL. While HRQoL plays a secondary role in establishment of the indication for surgical therapy in COM with cholesteatoma, it plays an important role in terms of relative surgical indications, e.g., a symptomatic open mastoid cavity after resection of the posterior canal wall. We encourage the regular use of disease-specific PROMs preoperatively as well as during follow-up to assess HRQoL in COM in individual patients, in research, and in the context of quality monitoring.

Translated title of the contribution
Health-related quality of life in chronic otitis media—measurement methods and their application in surgical therapy


Original languageGerman
Pages (from-to)556-565
Number of pages10
Journal HNO : Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie
Issue number9
Publication statusPublished - Sept 2023

External IDs

PubMed 37422596


ASJC Scopus subject areas


  • Cholesteatoma, Health care outcome assessment, Operative surgical procedures, Patient-reported outcome measure, Tympanic membrane perforation, Humans, Treatment Outcome, Cholesteatoma, Middle Ear, Otitis Media/diagnosis, Ear, Middle, Quality of Life, Surveys and Questionnaires, Chronic Disease

Library keywords