Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome
| Autor: | Sophia Marie Häussler, Heidi Olze, Agnieszka J. Szczepek, S Gräbel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Schwannoma Article Benign tumor microsurgical resection Vertigo medicine otorhinolaryngologic diseases intralabyrinthine schwannoma Cochlear implantation Intralabyrinthine schwannoma schwannoma Translabyrinthine approach biology business.industry General Medicine Surgical procedures medicine.disease biology.organism_classification Surgery cochlear implantation Medicine Sensorineural hearing loss sense organs business |
| Zdroj: | Journal of Clinical Medicine, Vol 10, Iss 3899, p 3899 (2021) Journal of Clinical Medicine Volume 10 Issue 17 |
| ISSN: | 2077-0383 |
| Popis: | Intralabyrinthine schwannoma (ILS) is a rare benign tumor of the inner ear potentially causing unilateral sensorineural hearing loss and vertigo. This study evaluated the outcome of one surgical session comprising microsurgical ILS resection and cochlear implantation in terms of surgical feasibility, complications, and auditory outcome. Ten clinically and histologically confirmed ILS patients included in this study (three women and seven men mean age 56.4 ± 8.6) underwent surgery between July 2015 and February 2020. Eight patients had intracochlear tumor location the remaining two had vestibulocochlear and intravestibular ILS. One of the three following methods was used for tumor removal: an extended cochleostomy, subtotal cochleoectomy, or a translabyrinthine approach. Although negligible improvement was observed in two of the patients, two patients were lost to follow-up, and one opted out from using CI, the speech perception of the five remaining ILS patients improved as per the Freiburg Monosyllable Test (FMT) from 0% before surgery to 45– 50% after the implantation. Our study supports the presented surgical approach’s feasibility and safety, enabling tumor removal and hearing restoration shortly after surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|