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Cochlear obliteration after translabyrinthine vestibular schwannoma surgery

  • Otology
  • Published:
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Abstract

The objective of the study was to determine the temporal occurrence of cochlear obliteration following translabyrinthine vestibular schwannoma resection. A retrospective chart review, cross-sectional study, and sequential analysis of the time series were performed. The retrospective study included patients undergoing translabyrinthine resection for stage T1–T2 vestibular schwannoma from 2007 to 2010 without prior therapy and postoperative follow-up including MRI of the brain and the cerebellopontine angle. Already 3 months after surgery a radiographic labyrinthine change was observed in 66.7 %, a partial obstruction in 50 %, and an obstruction limited to the saccule in 16.7 %. Only 33.3 % of the patients showed an unchanged inner ear. In consideration of early cochlear obstruction after translabyrinthine vestibular schwannoma resection, temporary follow-up is necessary. Since the indications for cochlear implantation (CI) have been extended, especially concerning patients with single-side deafness, a simultaneous or early second-stage CI after tumour removal should be discussed.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Medical Faculty, Duesseldorf University, Moorenstrasse 5, 40225, Düsseldorf, Germany

    Caroline Beutner, Jörg Schipper & Thomas Klenzner

  2. Department of Diagnostic and Interventional Radiology, Medical Faculty, Duesseldorf University, Düsseldorf, Germany

    Christian Mathys & Bernd Turowski

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  1. Caroline Beutner
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  2. Christian Mathys
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  3. Bernd Turowski
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  4. Jörg Schipper
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  5. Thomas Klenzner
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Correspondence to Caroline Beutner.

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Beutner, C., Mathys, C., Turowski, B. et al. Cochlear obliteration after translabyrinthine vestibular schwannoma surgery. Eur Arch Otorhinolaryngol 272, 829–833 (2015). https://doi.org/10.1007/s00405-013-2877-2

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  • DOI: https://doi.org/10.1007/s00405-013-2877-2

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