Hearing preservation in acoustic tumor surgery. 1992

C Shelton
House Ear Clinic, Los Angeles, California.

Preservation of hearing is a realistic goal, possible through the retrosigmoid or middle fossa surgical approaches. The best candidates have small tumors and good preoperative hearing. Preoperative ABR, ENG, and imaging characteristics may help prognosticate chances for hearing preservation. Hearing rarely improves after surgery, and some have noted a decline in the preserved hearing over time. With the introduction of gadolinium-enhanced magnetic resonance imaging, a larger number of small acoustic tumors are being diagnosed before hearing has been significantly affected. These patients benefit from this early diagnosis and are the best candidates for hearing preservation surgery.

UI MeSH Term Description Entries
D008297 Male Males
D009464 Neuroma, Acoustic A benign SCHWANNOMA of the eighth cranial nerve (VESTIBULOCOCHLEAR NERVE), mostly arising from the vestibular branch (VESTIBULAR NERVE) during the fifth or sixth decade of life. Clinical manifestations include HEARING LOSS; HEADACHE; VERTIGO; TINNITUS; and FACIAL PAIN. Bilateral acoustic neuromas are associated with NEUROFIBROMATOSIS 2. (From Adams et al., Principles of Neurology, 6th ed, p673) Acoustic Neuroma,Melanocytic Vestibular Schwannoma,Schwannoma, Acoustic,Schwannoma, Vestibular,Acoustic Neuroma, Cerebellopontine Angle,Acoustic Tumor,Angle Tumor,Cerebellopontine Angle Acoustic Neuroma,Cerebellopontine Angle Tumor,Neurilemmoma, Acoustic,Neurilemoma, Acoustic,Neurinoma of the Acoustic Nerve,Neurinoma, Acoustic,Neuroma, Acoustic, Unilateral,Vestibular Schwannoma,Acoustic Neurilemmoma,Acoustic Neurilemmomas,Acoustic Neurilemoma,Acoustic Neurilemomas,Acoustic Neurinoma,Acoustic Neurinomas,Acoustic Neuromas,Acoustic Schwannoma,Acoustic Schwannomas,Acoustic Tumors,Angle Tumor, Cerebellopontine,Angle Tumors,Angle Tumors, Cerebellopontine,Cerebellopontine Angle Tumors,Melanocytic Vestibular Schwannomas,Neurilemmomas, Acoustic,Neurilemomas, Acoustic,Neurinomas, Acoustic,Neuromas, Acoustic,Schwannoma, Melanocytic Vestibular,Schwannomas, Acoustic,Schwannomas, Melanocytic Vestibular,Schwannomas, Vestibular,Tumor, Acoustic,Tumor, Angle,Tumor, Cerebellopontine Angle,Tumors, Acoustic,Tumors, Angle,Tumors, Cerebellopontine Angle,Vestibular Schwannoma, Melanocytic,Vestibular Schwannomas,Vestibular Schwannomas, Melanocytic
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012048 Correction of Hearing Impairment Procedures for correcting HEARING DISORDERS. Correction of Auditory Perception,Habilitation of Hearing Impairment,Hearing Impaired Rehabilitation,Rehabilitation of Hearing Impaired,Audiologic Habilitation,Audiologic Rehabilitation,Aural Habilitation,Aural Rehabilitation,Correction of Hearing Loss,Habilitation of Hearing Impaired,Rehabilitation of Hearing Impairment,Audiologic Habilitations,Audiologic Rehabilitations,Auditory Perception Correction,Auditory Perception Corrections,Aural Habilitations,Aural Rehabilitations,Habilitation, Audiologic,Habilitation, Aural,Habilitations, Audiologic,Habilitations, Aural,Hearing Impaired Habilitation,Hearing Impaired Habilitations,Hearing Impairment Correction,Hearing Impairment Corrections,Hearing Impairment Habilitation,Hearing Impairment Habilitations,Hearing Impairment Rehabilitation,Hearing Impairment Rehabilitations,Hearing Loss Correction,Hearing Loss Corrections,Impaired Habilitation, Hearing,Impaired Habilitations, Hearing,Impairment Correction, Hearing,Impairment Corrections, Hearing,Impairment Habilitation, Hearing,Impairment Habilitations, Hearing,Impairment Rehabilitation, Hearing,Impairment Rehabilitations, Hearing,Loss Correction, Hearing,Loss Corrections, Hearing,Perception Correction, Auditory,Perception Corrections, Auditory,Rehabilitation, Audiologic,Rehabilitation, Aural,Rehabilitation, Hearing Impaired,Rehabilitations, Audiologic,Rehabilitations, Aural
D005260 Female Females
D006309 Hearing The ability or act of sensing and transducing ACOUSTIC STIMULATION to the CENTRAL NERVOUS SYSTEM. It is also called audition. Audition
D006311 Hearing Disorders Conditions that impair the transmission of auditory impulses and information from the level of the ear to the temporal cortices, including the sensorineural pathways. Distorted Hearing,Dysacusis,Paracousis,Paracusis,Hearing Disorder,Hearing, Distorted
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

C Shelton
March 1992, The American journal of otology,
C Shelton
January 1988, The Annals of otology, rhinology, and laryngology,
C Shelton
October 2001, The Journal of otolaryngology,
C Shelton
June 1992, Journal of neurosurgery,
C Shelton
November 1985, Minnesota medicine,
C Shelton
January 1985, Acta oto-laryngologica,
C Shelton
January 1995, Bulletin et memoires de l'Academie royale de medecine de Belgique,
C Shelton
February 1992, The Laryngoscope,
Copied contents to your clipboard!