Vestibular Schwannoma Resection with Ipsilateral Simultaneous Cochlear Implantation in Patients with Normal Contralateral Hearing

M. Sanna, M. Medina, A. Macak, G. Rossi, Valerio Sozzi, S. Prasad
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引用次数: 43

Abstract

Objective: To report the hearing results of cochlear implantation simultaneous to vestibular schwannoma (VS) resection by means of a translabyrinthine approach in patients with normal contralateral hearing. Methods: This was a prospective study including adults with sporadic VS. Tumors were resected by means of a modified translabyrinthine approach with preservation of the cochlear nerve. Results: A total of 13 patients underwent cochlear implantation. At 14 months, the mean pure-tone audiogram was 56 dB. The mean speech recognition was 80%. Cochlear implantation provides monaural and binaural benefits in all the conditions tested, including sound localization. Conclusions: Cochlear implantation can be safely performed simultaneously to VS resection with satisfactory hearing results provided that the cochlear nerve is anatomically intact.
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对侧听力正常患者的前庭神经鞘瘤切除与同侧人工耳蜗植入
目的:报道经迷路入路人工耳蜗植入术同时切除前庭神经鞘瘤对侧听力正常患者的听力效果。方法:这是一项前瞻性研究,包括采用保留耳蜗神经的改良经迷路入路切除散发性VS.肿瘤的成人。结果:13例患者行人工耳蜗植入术。14个月时,平均纯音听力图为56 dB。平均语音识别率为80%。在所有测试条件下,包括声音定位,人工耳蜗植入提供单耳和双耳的好处。结论:在耳蜗神经解剖完整的条件下,人工耳蜗植入术与VS切除术同时进行,可获得满意的听力效果。
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