Abstract
We herein report on the hearing improvement obtained after tumor removal in a vestibular schwannoma patient with preoperative severe hearing loss and good otoacoustic emission. Hearing recovery after tumor removal is an uncommon occurrence. As a result, hearing preservation surgery is usually not performed for patients with severe hearing loss. However, patients with a good OAE seem to have a better chance to recover their hearing than those with a poor OAE, even if they have severe hearing loss. As a result, the cochlear function should be evaluated, especially regarding the OAE, before determining the indications for hearing preservation surgery.
Similar content being viewed by others
Reference
Brackmann DE, Owen RM, Friedman RA, Hitselberger WE, De la Cruz A, House JW, Nelson RA, Luxford WM, Slattery WH III, Fayad JN (2000) Prognostic factors for hearing preservation in vestibular schwannoma surgery. Am J Otol 21: 417–424
Fischer G, Costantini JL, Mercier P (1980) Improvement of hearing after microsurgical removal of acoustic neuroma. Neurosurg 7: 154–159
Prasher DK, Tun T, Brookes GB (1995) Mechanisms of hearing loss in acoustic neuroma: an otoacoustic emission study. Acta Otolaryngol 105: 375–381
Robinette MS, Bauch CD, Olsen WO, Harner SG, Beatty CW (1997) Nonsurgical factors predictive of postoperative hearing for patients with vestibular schwannoma. Am J Otol 18: 738–745
Roberson JB, Jackson LE, McAuley JR (1999) Acoustic neuroma surgery: absent auditory brain stem response does not contraindicate attempted hearing preservation. Laryngoscope 109: 904–910
Shelton C, House WF (1990) Hearing improvement after acoustic tumor removal. Otolaryngol Head Neck Surg 103: 963–965
Stidham K, Roberson JB (2001) Hearing improvement after middle fossa resection of vestibular schwannoma. Otol Neurotol 22: 917–921
Telian SA, Kemink JL, Kileny P (1988) Hearing recovery following suboccipital excision of acoustic neuroma. Arch Otolaryngol Head Neck Surg 114: 85–87
Telischi F (2000) An objective method of analyzing cochlear versus noncochlear patterns of distortion product otoacoustic emissions in patients with acoustic neuromas. Laryngoscope 110: 553–562
Yanagihara N, Murakami S, Asai M, Hatakeyama T, Zenke K (1994) Hearing improvement following removal of acoustic neuroma with preoperative sudden deafness. Ear Nose Throat J 73: 890–894
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Inoue, Y., Ogawa, K. & Kanzaki, J. Hearing improvement after tumor removal in a vestibular schwannoma patient with severe hearing loss. Eur Arch Otorhinolaryngol 260, 487–489 (2003). https://doi.org/10.1007/s00405-003-0583-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00405-003-0583-1