Vestibular schwannoma and the only hearing ear

With the recent advances in the management of vestibular schwannomas, it is possible not only to save the facial nerve function but also preserve hearing in a small percentage of cases. Difficulties arise while managing patients with vestibular schwannoma in their only hearing ear. In this article w...

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Bibliographic Details
Published in:Journal of laryngology and otology 1996-04, Vol.110 (4), p.366-369
Main Authors: Bhatia, Sanjaya, Karmarkar, Sandeep, Taibah, Abdelkader, Russo, Alessandra, Sanna, Mario
Format: Article
Language:English
Subjects:
Adult
Audiometry, Pure-Tone
Biological and medical sciences
Clinical Records
Cranial Nerve Neoplasms - surgery
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Female
Hearing Loss
Hearing Loss, Sensorineural
Humans
Medical sciences
Middle Aged
Neurilemmoma - surgery
Otorhinolaryngology. Stomatology
Radiosurgery
Tumors
Vestibular schwannoma
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Summary:With the recent advances in the management of vestibular schwannomas, it is possible not only to save the facial nerve function but also preserve hearing in a small percentage of cases. Difficulties arise while managing patients with vestibular schwannoma in their only hearing ear. In this article we summarize our experience in managing seven of these patients. We recommend a watch and wait policy with a regular follow-up with audiometric testing and gadolinium-enhanced magnetic resonance imaging (MRI). Gamma knife radiosurgery is advised in cases with deterioration of hearing or increase in tumour size. Surgery is usually avoided unless there are brainstem compression symptoms.
ISSN:0022-2151
1748-5460
DOI:10.1017/S002221510013364X