Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever?
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023884%3A_____%2F23%3A00009692" target="_blank" >RIV/00023884:_____/23:00009692 - isvavai.cz</a>
Alternative codes found
RIV/00064203:_____/23:10455265 RIV/00216208:11110/23:10455265 RIV/00216208:11120/23:43925112 RIV/00064173:_____/23:43925112
Result on the web
<a href="https://pubmed.ncbi.nlm.nih.gov/36728388/" target="_blank" >https://pubmed.ncbi.nlm.nih.gov/36728388/</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1097/MAO.0000000000003801" target="_blank" >10.1097/MAO.0000000000003801</a>
Alternative languages
Result language
angličtina
Original language name
Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever?
Original language description
Introduction: Currently, it is possible to preserve the auditory nerve in a large number of cases, but the preservation of the hearing itself is unpredictable. Apart from wait and scan strategy and stereoradiotherapy, hearing after vestibular schwannoma surgery is considered to remain stable even in long-term follow-up.Materials and MethodsTwenty-eight patients had preserved hearing after retrosigmoid suboccipital microsurgery of the vestibular schwannoma between 2008 and 2014. A standard audiological protocol was performed together with an magnetic resonance imaging evaluation of the fluid content of the inner ear.ResultsThe mean difference in pure-tone average between the direct and final postsurgical examination was 12.758 dB (p = 2.5E - 06). The word recognition score deteriorated by 17.45% (p = 0.03516). The mean American Academy of Otolaryngology-Head and Neck Surgery score on the second examination was 2.5, and that on the second examination was 3.111 (p = 0.00483). There was no significant deterioration in the healthy ear.The signal intensity ratio in the basal turn of the cochlea increased by an average of 0.13 points (p < 0.05).Patients with persistent tumor or nodular enhancement in the internal acoustic meatus deteriorated significantly in hearing according to the American Academy of Otolaryngology-Head and Neck Surgery scale compared with patients without any finding in the meatus (p = 0.01299).ConclusionsThere is a discrete but gradual deterioration of the hearing in the postoperative period. Hearing impairment is more pronounced in patients with a nodular process in the internal acoustic meatus, regardless of whether it is growth active. After surgery, the pathological content of the inner ear normalizes (evaluated on T2 magnetic resonance imaging sequences).
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30210 - Clinical neurology
Result continuities
Project
<a href="/en/project/GA19-08241S" target="_blank" >GA19-08241S: Changes in the auditory cortex in patients with single sided deafness</a><br>
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Otology & Neurotology
ISSN
1531-7129
e-ISSN
—
Volume of the periodical
44
Issue of the periodical within the volume
3
Country of publishing house
US - UNITED STATES
Number of pages
6
Pages from-to
260-265
UT code for WoS article
000933189200024
EID of the result in the Scopus database
2-s2.0-85148112881