Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach
The results of 50 cases of vestibular schwannoma surgery with hearing preservation performed by the retrosigmoid approach at Addenbrooke’s Hospital, Cambridge, during a 10-year period are presented. The hearing-preservation rate, using audiometric criteria set by others as ″serviceable hearing” (Wad...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 1999-12, Vol.121 (6), p.781-788 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | MOFFAT, DAVID A DA CRUZ, MELVILLE J BAGULEY, DAVID M BEYNON, GRAHAM J HARDY, DAVID G |
| description | The results of 50 cases of vestibular schwannoma surgery with hearing preservation performed by the retrosigmoid approach at Addenbrooke’s Hospital, Cambridge, during a 10-year period are presented. The hearing-preservation rate, using audiometric criteria set by others as ″serviceable hearing” (Wade PJ, House W. Otolaryngol Head Neck Surg 1984;92:1184-93; Silverstein H, et al. Otolaryngol Head Neck Surg 1986;95:285-91; Cohen NL, et al. Am J Otol 1993;14:423-33) was 8% (4 of 50 cases). When the more stringent selection criteria of near-normal hearing and reporting criteria of socially useful hearing preservation (pure-tone average < 30 dB/speech discrimination score > 70%) is used, the hearing-preservation rate is 4.8% (1 of 21 cases). The only preoperative factor that may predict a favorable hearing-preservation outcome is normal auditory brain stem response morphology (Fisher’s exact 2-tailed test, P < 0.001). The number of suitable candidates for hearing-preservation surgery are few. Reasonable indications for attempted vestibular schwannoma surgery with hearing preservation are discussed. (Otolaryngol Head Neck Surg 1999;121:781-8.) |
| doi_str_mv | 10.1053/hn.1999.v121.a91263 |
| format | Article |
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The hearing-preservation rate, using audiometric criteria set by others as ″serviceable hearing” (Wade PJ, House W. Otolaryngol Head Neck Surg 1984;92:1184-93; Silverstein H, et al. Otolaryngol Head Neck Surg 1986;95:285-91; Cohen NL, et al. Am J Otol 1993;14:423-33) was 8% (4 of 50 cases). When the more stringent selection criteria of near-normal hearing and reporting criteria of socially useful hearing preservation (pure-tone average < 30 dB/speech discrimination score > 70%) is used, the hearing-preservation rate is 4.8% (1 of 21 cases). The only preoperative factor that may predict a favorable hearing-preservation outcome is normal auditory brain stem response morphology (Fisher’s exact 2-tailed test, P < 0.001). The number of suitable candidates for hearing-preservation surgery are few. Reasonable indications for attempted vestibular schwannoma surgery with hearing preservation are discussed. (Otolaryngol Head Neck Surg 1999;121:781-8.)</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1053/hn.1999.v121.a91263</identifier><identifier>PMID: 10580238</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Audiometry, Pure-Tone ; Ear Neoplasms - physiopathology ; Ear Neoplasms - surgery ; Hearing ; Humans ; Middle Aged ; Neuroma, Acoustic - physiopathology ; Neuroma, Acoustic - surgery ; Treatment Outcome ; Vestibular Diseases - physiopathology ; Vestibular Diseases - surgery</subject><ispartof>Otolaryngology-head and neck surgery, 1999-12, Vol.121 (6), p.781-788</ispartof><rights>1999 American Academy of Otolaryngology–Head and Neck Surgery Foundation, Inc.</rights><rights>1999 SAGE Publications</rights><rights>1999 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4481-ea2ec7392108ead8d7ae05ad7a0c712028ccc719f9f7deaa754984b902af3d153</citedby><cites>FETCH-LOGICAL-c4481-ea2ec7392108ead8d7ae05ad7a0c712028ccc719f9f7deaa754984b902af3d153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1053/hn.1999.v121.a91263$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1053/hn.1999.v121.a91263$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,1411,21798,27901,27902,43597,43598,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10580238$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOFFAT, DAVID A</creatorcontrib><creatorcontrib>DA CRUZ, MELVILLE J</creatorcontrib><creatorcontrib>BAGULEY, DAVID M</creatorcontrib><creatorcontrib>BEYNON, GRAHAM J</creatorcontrib><creatorcontrib>HARDY, DAVID G</creatorcontrib><title>Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>The results of 50 cases of vestibular schwannoma surgery with hearing preservation performed by the retrosigmoid approach at Addenbrooke’s Hospital, Cambridge, during a 10-year period are presented. The hearing-preservation rate, using audiometric criteria set by others as ″serviceable hearing” (Wade PJ, House W. Otolaryngol Head Neck Surg 1984;92:1184-93; Silverstein H, et al. Otolaryngol Head Neck Surg 1986;95:285-91; Cohen NL, et al. Am J Otol 1993;14:423-33) was 8% (4 of 50 cases). When the more stringent selection criteria of near-normal hearing and reporting criteria of socially useful hearing preservation (pure-tone average < 30 dB/speech discrimination score > 70%) is used, the hearing-preservation rate is 4.8% (1 of 21 cases). The only preoperative factor that may predict a favorable hearing-preservation outcome is normal auditory brain stem response morphology (Fisher’s exact 2-tailed test, P < 0.001). The number of suitable candidates for hearing-preservation surgery are few. Reasonable indications for attempted vestibular schwannoma surgery with hearing preservation are discussed. (Otolaryngol Head Neck Surg 1999;121:781-8.)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Audiometry, Pure-Tone</subject><subject>Ear Neoplasms - physiopathology</subject><subject>Ear Neoplasms - surgery</subject><subject>Hearing</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Neuroma, Acoustic - physiopathology</subject><subject>Neuroma, Acoustic - surgery</subject><subject>Treatment Outcome</subject><subject>Vestibular Diseases - physiopathology</subject><subject>Vestibular Diseases - surgery</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1DAURq2Kig6FJ6iEsmKXwT9JbKtiARVlKlXtBrZYd5ybiavEntrJVH17PEoXrKCra8nfuf58CLlgdM1oLT73fs201usD42wNmvFGnJAVo1qWjWLyDVlRpquy1lqdkXcpPVBKm0bKt-Qs84pyoVbk9wYhOr8r9hETxgNMLvjC-SKFwU0Qn4sDpslt5wFikWz_BN6HEYo0xx3m2zkd4anHIuIUQ3K7Mbi2gP0-BrD9e3LawZDww8s8J7-uv_-82pS39z9urr7elraqFCsROFopNGdUIbSqlYC0hjyolYxTrqzNB93pTrYIIOtKq2qrKYdOtKwW5-TTsjc_-zjnxmZ0yeIwgMcwJ9NowVnDRQ6KJWhz2RSxM_voxvxPw6g5ajW9N0et5qjVLFoz9fFl_bwdsf2LWTzmwOUSeHIDPr9mp7nf3H275hlnmaYLnWCH5iHM0WdZ_2n0ZUEwWz04jCZZh95i6yLaybTB_ZP_AxYorEo</recordid><startdate>199912</startdate><enddate>199912</enddate><creator>MOFFAT, DAVID A</creator><creator>DA CRUZ, MELVILLE J</creator><creator>BAGULEY, DAVID M</creator><creator>BEYNON, GRAHAM J</creator><creator>HARDY, DAVID G</creator><general>Mosby, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199912</creationdate><title>Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach</title><author>MOFFAT, DAVID A ; DA CRUZ, MELVILLE J ; BAGULEY, DAVID M ; BEYNON, GRAHAM J ; HARDY, DAVID G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4481-ea2ec7392108ead8d7ae05ad7a0c712028ccc719f9f7deaa754984b902af3d153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Audiometry, Pure-Tone</topic><topic>Ear Neoplasms - physiopathology</topic><topic>Ear Neoplasms - surgery</topic><topic>Hearing</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Neuroma, Acoustic - physiopathology</topic><topic>Neuroma, Acoustic - surgery</topic><topic>Treatment Outcome</topic><topic>Vestibular Diseases - physiopathology</topic><topic>Vestibular Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOFFAT, DAVID A</creatorcontrib><creatorcontrib>DA CRUZ, MELVILLE J</creatorcontrib><creatorcontrib>BAGULEY, DAVID M</creatorcontrib><creatorcontrib>BEYNON, GRAHAM J</creatorcontrib><creatorcontrib>HARDY, DAVID G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOFFAT, DAVID A</au><au>DA CRUZ, MELVILLE J</au><au>BAGULEY, DAVID M</au><au>BEYNON, GRAHAM J</au><au>HARDY, DAVID G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>1999-12</date><risdate>1999</risdate><volume>121</volume><issue>6</issue><spage>781</spage><epage>788</epage><pages>781-788</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>The results of 50 cases of vestibular schwannoma surgery with hearing preservation performed by the retrosigmoid approach at Addenbrooke’s Hospital, Cambridge, during a 10-year period are presented. The hearing-preservation rate, using audiometric criteria set by others as ″serviceable hearing” (Wade PJ, House W. Otolaryngol Head Neck Surg 1984;92:1184-93; Silverstein H, et al. Otolaryngol Head Neck Surg 1986;95:285-91; Cohen NL, et al. Am J Otol 1993;14:423-33) was 8% (4 of 50 cases). When the more stringent selection criteria of near-normal hearing and reporting criteria of socially useful hearing preservation (pure-tone average < 30 dB/speech discrimination score > 70%) is used, the hearing-preservation rate is 4.8% (1 of 21 cases). The only preoperative factor that may predict a favorable hearing-preservation outcome is normal auditory brain stem response morphology (Fisher’s exact 2-tailed test, P < 0.001). The number of suitable candidates for hearing-preservation surgery are few. Reasonable indications for attempted vestibular schwannoma surgery with hearing preservation are discussed. 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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 1999-12, Vol.121 (6), p.781-788 |
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| source | SAGE Complete A-Z List; MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Audiometry, Pure-Tone Ear Neoplasms - physiopathology Ear Neoplasms - surgery Hearing Humans Middle Aged Neuroma, Acoustic - physiopathology Neuroma, Acoustic - surgery Treatment Outcome Vestibular Diseases - physiopathology Vestibular Diseases - surgery |
| title | Hearing preservation in solitary vestibular schwannoma surgery using the retrosigmoid approach |
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