Long-Term Hearing Preservation in Vestibular Schwannoma

@article{Stangerup2010LongTermHP,
  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},
  year={2010},
  volume={31},
  pages={271-275}
}
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… 
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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.
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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.
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    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale
  • 2012
TLDR
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.
TLDR
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
TLDR
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
TLDR
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.
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TLDR
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
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TLDR
Functional cochlear nerve preservation in complete microsurgical resection should belong to the contemporary standard of treatment goals.
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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.
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TLDR
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.
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TLDR
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.
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TLDR
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TLDR
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