Hearing preservation after acoustic neurinoma operation
| Autor: | Uziel A, P. Frerebeau, Benezech J, M. Malonga, F. Segnarbieux, Philippe Coubes |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
medicine.medical_specialty Microsurgery medicine.medical_treatment Acoustic neuroma Audiology otorhinolaryngologic diseases medicine Humans Small tumors Hearing Disorders Aged Hearing preservation Tumor size business.industry Suboccipital approach Neuroma Acoustic Middle Aged medicine.disease Facial Nerve medicine.anatomical_structure Posterior cranial fossa Acoustic neurinoma Surgery Neurology (clinical) Radiology business |
| Zdroj: | Neurosurgery. 21(2) |
| ISSN: | 0148-396X |
| Popis: | Between 1981 and 1984, 44 patients underwent acoustic neurinoma removal by a posterior cranial fossa approach with an attempt to preserve hearing. Seven tumors were small (40 mm). Preoperatively, 4 patients had normal hearing, 15 had serviceable hearing, 10 had poor hearing, and 15 had no hearing. Postoperative hearing was preserved in 11 cases. Of the 19 patients with normal or serviceable hearing, 8 (42%) had serviceable hearing preserved postoperatively. Hearing preservation was achieved in 43% of the patients with small tumors, 25% of those with medium tumors, and 11% of those with large tumors. This study confirms the value of the suboccipital approach, which can be used in an attempt to preserve hearing whenever the patient has serviceable hearing preoperatively and whenever the tumor size makes it feasible. |
| Databáze: | OpenAIRE |
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