Hostname: page-component-5d84bcc8dc-5kdkp Total loading time: 0 Render date: 2026-09-15T10:18:52.382Z Has data issue: false hasContentIssue false
  • English
  • Français

Hearing preservation in vestibular schwannoma surgery: fact or fantasy?

Published online by Cambridge University Press:  29 June 2007

Mario Sanna ,
Sandeep Karmarkar  and
Mauro Landolfi
Mario Sanna*
Affiliation:
Gruppo Otologico, Piacenza, Italy
Sandeep Karmarkar
Affiliation:
ENT Surgeon, Nagpur, India.
Mauro Landolfi
Affiliation:
Gruppo Otologico, Piacenza, Italy
*
Address for correspondence: Mario Sanna, M. D., Gruppo Otologico, Via Emmanueli 42. 29100 Piacenza, Italy, Fax: 0039 523 453708
Get access Rights & Permissions [Opens in a new window]

Abstract

This study reviews 57 papers dealing with the issue of hearing preservation in vestibular schwannoma surgery published in otolaryngologic and neurosurgical literature between theyears 1977 and 1994. The authors', in this review, have made an attempt to verify whether the claims of hearing preservation are real, whether there is a price to be paid in terms of morbidity and whether there are univocal criteria for reporting results. The review shows that there is a wide disarray in reporting hearing results and the claims of hearing preservation are often unreal and misleading. On retabulating the results of a few series according to the minimal prerequisites for normal hearing (PTA ≤3O dB and SDS ≥70 per cent) and according to other various commonly reported criteria, it became evident that rates of hearing preservation differeda lot depending upon criteria. While any measurable hearing could be preserved in many cases, only a few had normal hearing preserved.

Keywords

Vestibular schwannomaHearing disordersReview literature

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 5 , May 1995 , pp. 374 - 380
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

This work has been supplied by a grant from the Associazione Italiana Neurotologica (A.I.N.O.T.).

References

Abramson, M., Stein, B. M., Pedley, T. A., Emerson, R. G., Wazen, J. J. (1985) Intraoperative BAER monitoring and hearing preservation in the treatment of acoustic neuromas. Laryngoscope 95: 1318–1322.CrossRefGoogle ScholarPubMed
Atlas, M. A.Harvey, C., Fagan, P. A. (1992) Hearing preservation in acoustic neuroma surgery: a continuing study. Laryngoscope 102: 779–783.CrossRefGoogle ScholarPubMed
Baldwin, D. L., King, T. T., Morrison, A. W. (1990) Hearing conservation in acoustic neuroma surgery via the posterior fossa. The Journal of Laryngology and Otology 104: 463–467.CrossRefGoogle ScholarPubMed
Bauch, C. D., Olsen, W. O., Harner, S. G. (1990) Preoperative and postoperative auditory brainstem response results for patients with eighth nerve tumours. Archives of Otolaryngology 116: 1026–1029.CrossRefGoogle Scholar
Brackmann, D. E., House, J. R. III, Hitselberger, W. E. (1994) Technical modifications to the middle fossa craniotomy approach in removal of acoustic neuromas. The American Journal of Otology 15: 614–619.Google Scholar
Charabi, S.Tos, M., Thomsen, J., Borgesen, S. V. (1992) Suboccipital acoustic neuroma surgery: results of decentralized tumor removal in Denmark. Acta Otolaryngologica (Stockholm) 112: 810–815.CrossRefGoogle ScholarPubMed
Chen, T. C., Macen, D. R., Giannotta, S. L., Shih, L., McComb Gordon, J. (1992) Unilateral acoustic neuromas in childhood without evidence of neurofibromatosis: case report and review of the literature. The American Journal of Otology 13: 318–322.Google ScholarPubMed
Cohen, M. L., Hammerschlag, P.Berg, H., Ransohoff, J. (1986) Acoustic neuroma surgery: an eclectic approach with emphasis on preservation of hearing. Annals of Otology, Rhinology and Laryngology 95: 21–27.CrossRefGoogle ScholarPubMed
Cohen, N. L., Lewis, W. S.Ransohoff, J. (1993) Hearing preservation in cerebellopontine angle tumor surgery: the NYU experience. The American Journal of Otology 14: 423–433.Google ScholarPubMed
Ditullio, M. V., Malkasian, D., Rand, R. W. (1978) A critical comparison of neurosurgical and otolaryngological approaches to acoustic tumours Journal of Neurosurgery 48: 1–12.Google Scholar
Doyle, K. J., Shelton, C. (1993) Hearing preservation in bilateral acoustic neuroma surgery. The American Journal of Otology 14: 562–565.Google ScholarPubMed
Fischer, G., Fischer, C., Remond, J. (1992) Hearing preservation in acoustic neurinoma surgery. Journal of Neurosurgery 76: 910–917.CrossRefGoogle ScholarPubMed
Gantz, B. J., Parnes, L. S., Hanker, L. A.. McCabe, B. E (1986) Middle cranial fossa acoustic neuroma excision: results and complications Annals of Otology, Rhinology and Laryngotogy 95: 454–459.Google Scholar
Gardner, G., Robertson, J. H. (1988) Hearing preservation in unilateral acoustic neunoma surgery. Annals of Otology, Rhinology and Laryngology 97: 55–65.CrossRefGoogle ScholarPubMed
Glasscock, M. E. III, Hays, J. W., Minor, L. B., Haynes, D. S., Carrasco, V. N. (1993) Preservation of hearing in surgery for acoustic neuromas. Journal of Neurosurgery 78: 864–870.CrossRefGoogle Scholar
Harker, L. A., McCabe, B. F. (1978) Iowa results of acoustic neuroma operations Laryngoscope 88: 1904–1911.Google Scholar
Harnen, S. G., Beatty, C. W., Ebersold, M. J. (1990) Retnosigmoid removal of acoustic neuroma: experience 1978–1988. Otolaryngology–Head and Neck Surgery 103: 40–45.CrossRefGoogle Scholar
Hpen, C. M., Harner, S. G., Slavit, D. H., Litchy, W. J., Daube, J. R., Beatty, C. W., Ebersold, M. J. (1992) Effect of BAEP monitoring on hearing preservation during acoustic neuroma resection. Neurology 42: 1551–1553.Google Scholar
Hinton, A. E., Ramsden, R. T., Dutton, J. E. (1992) Criteria for hearing preservation in acoustic schwannoma surgery: the concept of useful hearing. The Journal of Laryngology and Otology 106: 500–503.CrossRefGoogle ScholarPubMed
Hoehmann, D. (1991) Pre and post-operative hearing thresholds and brainstem responses in patients with acoustic neuroma: follow-up study using the middle fossa approach. The American Journal of Otology 12: 172–178.Google ScholarPubMed
Janetta, P. J., Moller, A. R., Mollen, A. B. (1984) Technique of hearing preservation in small acoustic neuromas. Annals of Surgery 200: 513–523.CrossRefGoogle Scholar
Jenkins, H. A. (1992) Hearing preservation in acoustic neuroma surgery. Laryngoscope 102: 125–128.CrossRefGoogle ScholarPubMed
Kemink, J. L., La Rouere, M. J., Kileny, P. R., Teluan, S. A., Hoff, J. T. (1990) Hearing preservation following suboccipital removal of acoustic neuromas Laryngoscope 100: 597–602.Google Scholar
Mangham, C. A., Skalabnin, T. A. (1992) Indications for hearing preservation in acoustic tumor surgery. The American Jourrnal of Otology 13: 137–140.Google ScholarPubMed
Mazzoni, A., Calabrese, V., Danesi, G., DcNignis, M. (1993) La via sub-occipitale nella chirurgia funzionale del neurinoma dell'VIII nervo cranico. Acta Otorhinolaryngologica italica 13: 3–11.Google Scholar
McElveen, J. T. Jr, Wilkins, R. H., Erwin, A. C., Wolford, R. D. (1991) Modifying the translabyninthine approach to preserve hearing during acoustic tumour surgery. The Journal of Laryngology and Otology 105: 34–37.CrossRefGoogle ScholarPubMed
McKenna, M. J., Halpin, C., Ojemann, R. G., Nadol, J. B. Jr, Montgomery, W. W., Levine, R. A., Carlisle, E., Mantuza, R.(1992) Long-term hearing results in patients after surgical removal of acoustic tumors with hearing preservation. 0The American Journal of Otology 13: 134–136.Google ScholarPubMed
Molony, T. B., Kwartler, J. A., House, W. F., Hitselberger, W. E. (1992) Extended middle fossa and retrolabyninthine approaches in acoustic neuroma surgery: case reports. The American Journal of Ototogy 13: 360–363.Google ScholarPubMed
Nadol, J., Levine, R., Ojemann, R., Martuza, R., Montgomery, W. W., Dc Sandoval, P. K. (1987) Preservation of hearing in surgical removal of acoustic neuromas of the internal auditory canal and cerebellar pontine angle. Laryngoscope 97: 1287–1294.CrossRefGoogle ScholarPubMed
Nadol, J. B. Jr, Chiong, C. M., Ojemann, R. G., McKenna, M. J., Martuza, R. L., Montgomery, W. W., Levine, R. A., Ronner, S. FGlynn, R. J. (1992) Preservation of hearing and facial nerve function in resection of acoustic neuroma. Laryngoscope 102: 1153–1158.CrossRefGoogle ScholarPubMed
Ogawa, K., Kanzaki, J., O-Uchi, T., Inoue, Y. (1991) Preoperative findings and hearing preservation in acoustic neuroma surgery. Acta Otolaryngologica (Stockholm) Suppl. 487: 30–35.CrossRefGoogle ScholarPubMed
Ojemann, R. G., Levine, R. A., Montgomery, W. M., McGaffigan, P. (1984) Use of intraopenative auditory evoked potentials to preserve hearing in unilateral acoustic neuroma removal. Journal of Neurosurgery 61 938–948.CrossRefGoogle ScholarPubMed
Palva, T., Troupp, H., Jauhiainen, T. (1981) Team surgery foracoustic neurinomas and the preservation of hearing. Acta Otolaryngologica (Stockholm) 91: 37–45.CrossRefGoogle Scholar
Palva, T., Troupp, H., Jauhiainen, T. (1985) Hearing preservation in acoustic neuroma surgery. Acta Otolaryngologica (Stockholm) 99: 1–7.CrossRefGoogle Scholar
Pifko, P., Pasztor, E. (1981) Operated bilateral acoustic neurinoma with preservation of hearing and facial nerve function. ORL 43: 255–261.Google Scholar
Rand, R. W. (1982) Postoperative edema and preservation of hearing in acoustic tumour surgery. In: Neurological surgery of the ear and skull base. (Brackmann, D. E. ed). Raven Press, New York, pp 247–256.Google Scholar
Samii, M., Turel, K. E., Penkert, G. (1985) Management of seventh and eighth nerve involvement by cerebellopontine angle tumours Clinical neurosurgery 32: 242–271.Google Scholar
Samii, M. (1991) Personal communication.Google Scholar
Sanna, M., Zini, C., Mazzoni, A., Gandolfi, A., Pareschi, R., Pasanisi, E., Gamoletti, R. (1987) Hearing preservation in acoustic neuroma surgery. The American Journal of Otology 8: 500–506.Google ScholarPubMed
Sanna, M., Gamoletti, R., Tos, M., Thomsen, J. (1991 a) Synopsis on: hearing preservation following acoustic neuroma surgery. In: Acoustic neuroma. (Tos, M., Thomsen, J., eds). Kugler Publications Amsterdam/New York, pp 985–987.Google Scholar
Sanna, M., Zini, C., Gamoletti, R., Landolfi, M., Shaan, M., Piazza, E. (1991 b) Hearing preservation: A critical review of literature. In: Acoustic neuroma. (Tos, M., Thomsen, J. eds). Kugler Pub1ications Amsterdam/New York, pp 631–638.Google Scholar
Shelton, C., Brackmann, D. E., House, W. E.Hitselberger, W. E. (1989) Middle fossa acoustic tumour surgery: results in 106 cases. Laryngoscope 99: 405–408.CrossRefGoogle ScholarPubMed
Shelton, C., Hitselberger, W. E., House, W. F.Brackmann, D. E. (1990) Hearing preservation after acoustic neuroma removal. Laryngoscope 100: 115–119.CrossRefGoogle Scholar
Shelton, C., Hitselberger, W. E. (1991) The treatment of small acoustic tumors: Now or later? Laryngoscope 101: 925–928.CrossRefGoogle ScholarPubMed
Silverstein, H., McDaniel, A. B., Norrel, H. (1985) Hearing preservation after acoustic neuroma surgery using inatraoperative direct eighth cranial nerve monitoring. The American Journal of Otology (Suppl.) 99–106.Google ScholarPubMed
Silverstein, H., McDaniel, A., Norrel, H., Haberkamp, T. (1986) Hearing preservation after acoustic neuroma surgery with intraoperative direct eighth cranial nerve monitoring: Part 2. A classification of results Otolaryngology–Head and Neck Surgery 95: 285–290.Google Scholar
Smith, M. F., Clancy, T. P., Lang, J. S. (1977) Conservation of hearing in acoustic neurilemmoma excision. ORL 84: 704–709.Google ScholarPubMed
Smith, P. G., Bigelow, D. C., Kletzker Robert, G., Leonetti, J. P., Pugh, B. K., Mishler Tracy, E. (1993) Hearing preservation following a transtemporal resection of an acoustic schwannoma: a case report. The American Journal of Otology 14: 434–436.Google ScholarPubMed
Sterkers, J. M., Sterkers, O.Maudelonde, C.. Corlieu, P. (1984) Preservation of hearing by the retrosigmoid approach in acoustic neuroma surgery. Advances in Oto-Rhino-Laryngology 34: 187–192.CrossRefGoogle ScholarPubMed
Sterkers, J. M., Morrison, G. A., Sterkers, O., Badr El-Dine, M. M. (1994) Preservation of facial. cochlear, and other nerve functions in acoustic neuroma treatment. Otolaryngology-Head and Neck Surgery 110: 146–155.CrossRefGoogle ScholarPubMed
Tatagiba, M., Samii, M., Matthies, M., Azm, M. E., Schonmayr, R. (1992) The significance for post-operative hearing of preserving the labyrinth in acoustic neurinoma surgery. Journal of Neurosurgery 77: 677–684.CrossRefGoogle Scholar
Tator, C. H., Nedzelski, J. M. (1985) Preservation of hearing in patients undergoing excision of acoustic neuromas and other cerebellopontine angle tumours Journal of Neurosurgery 63: 168–174.CrossRefGoogle Scholar
Tucci, D. L., Telian, S. A., Kileny, P. R.. Hoff, J. T.Kemink, J. L. (1994) Stability of hearing preservation following acoustic neuroma surgery. The American Journal of Otology 15: 183–188.Google ScholarPubMed
Umezu, H., Aiba, T. (1994) Preservation of hearing after surgery for acoustic schwannomas:correlation between cochlear nerve function and operative findings Journal of Neurosurgery 80: 844–848.CrossRefGoogle ScholarPubMed
Wade, P. J., House, W. F. (1984) Hearing preservation in patients with acoustic neuromas via the middle fossa approach. Otolaryngology Head and Neck Surgery 92: 184–193.CrossRefGoogle ScholarPubMed
Wanxing, C. (1981) Preservation of facial and acoustic nerves in the total removal of large and small acoustic tumours Journal of Neurosurgery 54: 268–272.Google Scholar
Wigand, M. E., Haid, T., Berg, M., Schuster, B., Goertzen, W. (1991) The extended middle cranial fossa approach for acoustic tumour. Skull Base Surgery 1: 183–187.CrossRefGoogle Scholar