Long-Term Hearing Preservation in Vestibular Schwannoma

  title={Long-Term Hearing Preservation in Vestibular Schwannoma},
  author={Sven Eric Stangerup and Jens Christian Thomsen and Mirko Tos and Per Cay{\'e}-Thomasen},
  journal={Otology \& Neurotology},
Objective: The aim of the present study was to evaluate the long-term hearing during "wait and scan" management of vestibular schwannomas. Subjects: During a 33-year period, from 1976 to 2008, 1,144 patients with vestibular schwannoma were allocated to observation by the wait and scan policy, with annual magnetic resonance imaging and audiologic examination. Two complete pure-tone and speech discrimination audiograms were available for 932 patients. In 900 patients (97%), the wait and scan… 
Natural History of Hearing Deterioration in Intracanalicular Vestibular Schwannoma
Hearing will deteriorate in some intracanalicular vestibular schwannomas, regardless of tumor growth, and the present results using conservative management in these tumors appear similar to those reported for stereotactic radiotherapy or microsurgery.
Long-Term Hearing Outcome After Retrosigmoid Removal of Vestibular Schwannoma
Analyzing the long-term hearing outcomes at a mean follow-up of 5 years in patients with unilateral VS treated via the retrosigmoid approach found that the deterioration of PTA in the early postoperative period may help to predict theLong-term outcomes of hearing.
Systematic Review of Hearing Preservation in Observed Vestibular Schwannoma
Fifty percent of patients presenting with good hearing at diagnosis had preserved this after a mean of 5 years of observation, whereas serviceable hearing was preserved in 54%.
Ten-Year Follow-up on Tumor Growth and Hearing in Patients Observed With an Intracanalicular Vestibular Schwannoma
Tumor growth occurred in only a minority of patients diagnosed with an intracanalicular VS during 10 years of observation, and the risk of hearing loss is small in patients with normal discrimination at diagnosis.
Hearing Loss Progresses Faster in Patients With Growing Intracanalicular Vestibular Schwannomas
There is no association between hearing deterioration and clinical characteristics in 155 VS patients and hearing loss is associated with tumor growth in intracanalicular tumors only.
Hearing Preservation after Middle Fossa Vestibular Schwannoma Removal
For patients with VS in whom serviceable hearing is preserved following the middle cranial fossa (MCF) approach, the long-term hearing outcome remains durable in most patients.
Hearing preservation surgery in acoustic neuroma: long-term results
  • A. Mazzoni, E. Zanoletti, V. Calabrese
  • Medicine
    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
  • 2012
Small size and good preoperative hearing correlated with good short- and long-term hearing, and change (or stability) of the short to long- term class was the main outcome measure.
Internal Auditory Canal Decompression for Hearing Maintenance in Neurofibromatosis Type 2 Patients.
Decompression of IAC seems to be a useful procedure for hearing maintenance in NF2 patients, with very low morbidity and functional results.
Wait and Scan Management of Intra-canalicular Vestibular Schwannomas: Analysis of Growth and Hearing Outcome
Wait and scan management of ICVS is a viable option and only 18.8% of patients needed further treatment, and hearing tends to deteriorate over time.
Analysis of Hearing Preservation in Middle Cranial Fossa Resection of Vestibular Schwannoma
In this cohort of patients undergoing MCF resection of VS, rates of HP were higher for patients with excellent preoperative hearing, and postoperatively, +HP patients reported improved hearing-related PANQOL scores compared to −HP patients.


Change in hearing during ‘wait and scan’ management of patients with vestibular schwannoma
It appears that, in vestibular schwannoma patients with a small tumour and normal speech discrimination, the main indication for active treatment should be established tumour growth.
Long-Term Hearing Preservation after Middle Fossa Removal of Vestibular Schwannoma
Conservative management versus surgery for small vestibular schwannomas
Conclusion A high rate of deterioration in hearing function and the loss of patient compliance during conservative management should be taken into account when considering hearing preservation
Management of 1000 vestibular schwannomas (acoustic neuromas): hearing function in 1000 tumor resections.
Functional cochlear nerve preservation in complete microsurgical resection should belong to the contemporary standard of treatment goals.
Vestibular schwannomas and auditory function: options in large T3 and T4 tumors?
The summit of hearing preservation has not been reached as improvements are still achieved even in most difficult conditions, and hearing preservation may be achieved in relevant numbers and at satisfactory quality levels.
Effectiveness of conservative management of acoustic neuromas.
Conservative management of acoustic neuromas carries difficulties: long-term follow-up of the patients and unpredictability of the tumor growth pattern; a reliable and reproducible radiologic method for evaluating tumor size is of great importance.
Hearing preservation in patients undergoing vestibular schwannoma surgery: comparison of middle fossa and retrosigmoid approaches.
A more favorable hearing outcome for patients with intracanalicular tumors and tumors extending up to 1 cm into the CPA that were removed via the MF when compared with the RS approach is demonstrated.
Patient outcomes after vestibular schwannoma management: a prospective comparison of microsurgical resection and stereotactic radiosurgery.
Unless long-term follow-up evaluation shows frequent tumor progression at currently used radiation doses, radiosurgery should be considered the best management strategy for the majority of VS patients.
Treatment of vestibular schwannomas. Why, when and how?
It is uncertain if treating a small tumour leaves the patient with a better chance of obtaining relief from future hearing loss, vertigo or tinnitus than by observing it without treatment, so the literature concerning quality of life in patients with VS is reviewed.
Radiosurgery of vestibular schwannomas: summary of experience in 829 cases.
OBJECT Management options for vestibular schwannomas (VSs) have greatly expanded since the introduction of stereotactic radiosurgery. Optimal outcomes reflect long-term tumor control, preservation of