Vestibular schwannoma and the only hearing ear

Author(s): Karmarkar, S., Taibah, A., Russo, A., Sanna, M.

Journal/Book: J Laryngol Otol. 1996; 110: Invicta Press, Ashford, Kent, England TN24 8HH. Headley Brothers Ltd. 366-369.

Abstract: With the recent advances in the management of vestibular schwannomas, it is possible not only to save the facial nerve function but also preserve hearing in a small percentage of cases. Difficulties arise while managing patients with vestibular schwannoma in their only hearing ear. In this article we summarize our experience in managing seven of these patients. We recommend a watch and wait policy with a regular follow-up with audiometric testing and gadolinium-enhanced magnetic resonance imaging (MRI). Gamma knife radiosurgery is advised in cases with deterioration of hearing or increase in tumour size. Surgery is usually avoided unless there are brainstem compression symptoms.

Note: Article M Sanna, Grp Otol, Via Emmanueli 42, I-29100 Piacenza, Italy

Keyword(s): vestibular schwannoma; radiosurgery; ACOUSTIC NEUROMA SURGERY; PRESERVATION; MANAGEMENT; REMOVAL; TUMORS

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