Recovery From Postoperative Hearing Loss in Retrosigmoid Vestibular Schwannoma Surgery: Report of 5 Cases and the Recovery Rate

T. Hitotsumatsu, Tomio Sasaki
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引用次数: 1

Abstract

Recovery from postoperative hearing loss is seldom observed in vestibular schwannoma surgery. The authors reported 5 rare cases of a return to useful hearing presenting after recovery from complete hearing deterioration occurring immediately after retrosigmoid removal of vestibular schwannoma. The first signs of useful hearing recovery can be determined by the patient's ability to recognize sound within 3 d after surgery (range 1-3 d, median 3 d). Furthermore, the duration until hearing ability recovered to a useful level (range 6-40 d, median 14 d) seems to correlate with the duration before speech identification could be confirmed (range 2-20 d, median 5 d). The percentage of a chance at the delayed hearing recovery in cases who lost the hearing immediately after the operation was 7.4% (5/68). The data on the time course of the change in hearing abilities are of great value in prognosticating the potential for hearing recovery in patients who complain of hearing loss after surgery.
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乙状结肠后前庭神经鞘瘤术后听力损失的恢复:附5例报告及恢复率
在前庭神经鞘瘤手术中,很少观察到术后听力损失的恢复。作者报告了5例罕见病例,在乙状结肠后切除前庭神经鞘瘤后立即出现完全听力衰退后恢复有用听力。术后3天(范围1-3天,中位数3天)内,听力恢复的第一个迹象可以通过患者识别声音的能力来确定。此外,听力恢复到有用水平的持续时间(范围6-40天,中位数14天)似乎与确认语音识别前的持续时间(范围2-20天,中位数14天)相关。术后立即丧失听力的患者延迟听力恢复的几率为7.4%(5/68)。听力能力变化的时间过程数据对于预测术后听力损失患者的听力恢复潜力具有重要价值。
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