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… 
Natural History of Hearing Deterioration in Intracanalicular Vestibular Schwannoma
TLDR
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.
Hearing Outcomes in Conservatively Managed Vestibular Schwannoma Patients With Serviceable Hearing.
  • Jacob B. Hunter, Eric M. Dowling, M. Carlson
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2018
TLDR
Good baseline word recognition score and low pure-tone average are jointly associated with maintenance of serviceable hearing among patients with sporadic vestibular schwannomas.
Long-Term Hearing Outcome After Retrosigmoid Removal of Vestibular Schwannoma
TLDR
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
TLDR
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
TLDR
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.
Long-Term Hearing Preservation Outcomes for Small Vestibular Schwannomas: Retrosigmoid Removal Versus Observation.
  • Wei-dong Zhu, Hongsai Chen, Hao Wu
  • Medicine
    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
  • 2018
TLDR
Tumor removal should be the first treatment option for patients with small vestibular schwannomas and preserved hearing, especially for young patients with good hearing; retrosigmoid approach is an effective and safe approach for small VSs removal with excellent functional outcomes.
Hearing Loss Progresses Faster in Patients With Growing Intracanalicular Vestibular Schwannomas
TLDR
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
TLDR
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
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.
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Long-Term Hearing Preservation after Middle Fossa Removal of Vestibular Schwannoma
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