Cochlear implantation in patients with vestibular schwannoma

@article{Pai2013CochlearII,
  title={Cochlear implantation in patients with vestibular schwannoma},
  author={Irumee Pai and Vikram Dhar and Catherine Kelleher and Terry B. Nunn and S. E. J. Connor and Dan Jiang and A F O'connor},
  journal={The Laryngoscope},
  year={2013},
  volume={123}
}
To evaluate the outcome of cochlear implantation (CI) in patients with vestibular schwannoma (VS). 
Trends in hearing rehabilitation use among vestibular schwannoma patients
TLDR
This study analyzed the use of hearing rehabilitation devices among vestibular schwannoma patients and found that hearing rehabilitation options, if any, are preferred by patients with VS.
Management of sporadic vestibular schwannoma with contralateral nonserviceable hearing
To outline a possible decision‐making process for sporadic vestibular schwannoma (VS) with contralateral nonserviceable hearing at diagnosis.
Cochlear implants in the management of hearing loss in Neurofibromatosis Type 2
TLDR
Cochlear implantation can lead to open set speech discrimination in patients with NF2 in the presence of a stable VS, and use of promontory stimulation and intraoperative electrically evoked auditory brainstem response testing, along with case history, can inform the decision whether to implant an ABI or CI.
Ipsilateral Cochlear Implantation in the Presence of Observed and Irradiated Vestibular Schwannomas
TLDR
This retrospective series and literature review highlight that hearing outcomes with CI for VS patients are superior to those achieved with ABI, however, important considerations including imaging, delayed hearing loss, and observation time cannot be ignored in this population.
Cochlear implantation after radiosurgery for vestibular schwannoma.
TLDR
Most patients who underwent cochlear implantation following SRS for VS enjoyed access to sound at near-normal levels, with the majority achieving good open-set speech understanding.
Cochlear implantation in delayed sudden hearing loss after conservative vestibular schwannoma surgery
  • F. Dagna, A. Murri, R. Albera, D. Cuda
  • Medicine
    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
  • 2016
TLDR
In conclusion, cochlear implantation is a feasible and effective solution after conservative vestibular schwannoma surgery should delayed hearing loss occur.
Hearing rehabilitation outcomes in cochlear implant recipients with vestibular schwannoma in observation or radiotherapy groups: A systematic review
TLDR
Ipsilateral CI in patients with VS that have not been surgically resected can provide beneficial hearing rehabilitation outcomes, according to a systematic review of studies.
Cochlear Implantation in Vestibular Schwannoma: A Systematic Literature Review.
TLDR
Categorization of hearing outcome into superior performance and inferior performance based on sentence recognition revealed a generally good hearing outcome regardless of treatment or patient population.
The emerging role of hearing loss rehabilitation in patients with vestibular schwannoma treated with Gamma Knife radiosurgery: literature review
TLDR
Hearing rehabilitation can improve audiological results for VS patients following SRS in selected cases, and cochlear implant (CI) in SSD leads to partial restoration of binaural hearing with an improvement in speech comprehension in noise and in sound localization, and partial suppression of subjective incapacitating tinnitus.
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TLDR
To evaluate the long‐term hearing outcomes of neurofibromatosis type 2 (NF2) patients with cochlear implants, a large number of patients with previous NF2 treatment regimens have had hearing loss.
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This study was designed to evaluate hearing preservation after gamma knife radiosurgery (GKRS) and to determine the relation between hearing preservation and cochlear radiation dose in patients with
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TLDR
Cochlear implantation provided some auditory benefit in all patients and Preservation of cochlear nerve integrity is crucial after VS resection, according to a literature review.
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TLDR
The case of a patient with neurofibromatosis type 2 who underwent a concurrent translabyrinthine vestibular schwannoma resection and cochlear implantation in the same ear is presented.
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TLDR
Cochlear implantation results in improved hearing in a select group of NF2 patients who have undergone radiation treatment to control their vestibular schwannoma.
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TLDR
In selected cases of deafness in patients with NF2 where there has been anatomic preservation of the auditory nerve after acoustic neuroma resection or radiation therapy, cochlear implantation may offer some improvement in communication skills, including the possibility of open-set speech communication in some patients.
Hearing Rehabilitation in Neurofibromatosis Type 2 Patients: Cochlear versus Auditory Brainstem Implantation
TLDR
This study confirmed literature data reporting that cochlear implantation may offer open-set speech communication in NF2 patients, and performed better than auditory brainstem implant patients, even if variability in auditory performance was observed with both devices.
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TLDR
Auditory brainstem implantation in NF2 patients directly after tumor removal is a safe procedure and the best means of hearing rehabilitation if the cochlear nerve is not preserved.
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TLDR
The promontory stimulation test (PST) provides an important psychophysical experience of hearing electrical sound and is predictive of greater speech benefits after implantation.
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