Relationship between nonserviceable hearing and auditory brainstem response in patients with vestibular schwannoma

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY Auris Nasus Larynx Pub Date : 2025-02-01 DOI:10.1016/j.anl.2024.12.011

Kohei Fukuda , Shin Matsumoto , Yuka Hattori , Kazuki Takahashi , Kotaro Osawa , Yuki Hirose , Masahide Matsuda , Keiji Tabuchi

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Abstract

Objective

The interpretation of ABR results in patients with vestibular schwannoma is often unclear. We investigated the correlation between serviceable hearing in patients with vestibular schwannoma (VS) and factors including auditory brainstem response (ABR) at their initial presentation.

Methods

We retrospectively analyzed initial magnetic resonance imaging findings, Gardner–Robertson (G&R) classification, ABR, and related data from 72 patients with VS who visited our institution between February 2017 and January 2023. Factors affecting hearing thresholds and nonserviceable hearing were examined.

Results

Univariate analysis revealed a significant association between nonserviceable hearing and Koos stage 4, ABR Ⅴ-wave negative, and tumor diameter ≥21.5 mm. In a multivariate analysis, ABR Ⅴ-wave negative was independently associated with nonserviceable hearing.

Conclusion

In the present single-center, retrospective sample population, inadequate Ⅴ-waves in the ABR were independently associated with nonserviceable hearing. The findings are useful in explaining serviceable hearing to patients with VS.

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前庭神经鞘瘤患者听力障碍与听性脑干反应的关系。

目的：对前庭神经鞘瘤患者的ABR结果解释不清。我们研究了前庭神经鞘瘤（VS）患者可用听力与首发时听觉脑干反应（ABR）等因素的相关性。方法：回顾性分析2017年2月至2023年1月期间就诊的72例VS患者的初始磁共振成像结果、Gardner-Robertson （G&R）分类、ABR及相关数据。检查影响听力阈值和听力不正常的因素。结果：单因素分析显示，不可使用性听力与Koos期4、ABRⅤ波阴性、肿瘤直径≥21.5 mm有显著相关性。在多变量分析中，ABRⅤ波阴性与听力不可用性独立相关。结论：在目前的单中心回顾性样本人群中，ABR中Ⅴ-波的不足与不能正常使用的听力独立相关。这一发现有助于解释VS患者的可用性听力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.