Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever?

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00064203:_____/23:10455265 RIV/00216208:11110/23:10455265 RIV/00216208:11120/23:43925112 RIV/00064173:_____/23:43925112

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever?

Popis výsledku v původním jazyce

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).

Název v anglickém jazyce

Hearing After Vestibular Schwannoma Surgery: Is It Preserved Forever?

Popis výsledku anglicky

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).

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30210 - Clinical neurology

Projekt

<a href="/cs/project/GA19-08241S" target="_blank" >GA19-08241S: Změny ve sluchové kůře u pacientů s jednostrannou hluchotou</a><br>

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Otology & Neurotology

ISSN

1531-7129

e-ISSN

—

Svazek periodika

44

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

260-265

Kód UT WoS článku

000933189200024

EID výsledku v databázi Scopus

2-s2.0-85148112881