Preservation of Hearing in Bilateral Acoustic Neurinomas by Deliberate Partial Resection
With the aim of preserving hearing, 20 acoustic neurinomas in 17 patients with neurofibromatosis 2 were intentionally submitted to an incomplete (80%) tumour removal. In 12 cases this was an operation on the last hearing ear with total deafness of the contralateral ear. If an auditus existed in both...
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| Veröffentlicht in: | Acta oto-laryngologica 1992-01, Vol.112 (2), p.237-241 |
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| creator | Wigand, Malte Erik Haid, Toni Goertzen, Winfried Wolf, Stephan |
| description | With the aim of preserving hearing, 20 acoustic neurinomas in 17 patients with neurofibromatosis 2 were intentionally submitted to an incomplete (80%) tumour removal. In 12 cases this was an operation on the last hearing ear with total deafness of the contralateral ear. If an auditus existed in both ears the better hearing ear was selected for the primary intervention. Early audiological controls evidenced residual hearing in 19 of the 20 cases operated on by the enlarged middle fossa approach, which was utilized inspite of the tumour diameters being between 1 and 6 cm in the cerebello-pontine angle. The oncologic and functional follow-up over 1 to 7 years showed different patterns of slow progression of hearing loss and of persistent auditory function over 2 to 7 years. Facial nerve function was excellent in 16 of the 18 controlled cases. Continued CT or MRT imaging revealed no signaling in 2 cases, constant tumour sizes in 10 cases and slow progression in 3 cases. With regard to the importance of an auditory communication in the younger adult, the described treatment modality appears to be the first choice method. |
| doi_str_mv | 10.1080/00016489.1992.11665411 |
| format | Article |
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In 12 cases this was an operation on the last hearing ear with total deafness of the contralateral ear. If an auditus existed in both ears the better hearing ear was selected for the primary intervention. Early audiological controls evidenced residual hearing in 19 of the 20 cases operated on by the enlarged middle fossa approach, which was utilized inspite of the tumour diameters being between 1 and 6 cm in the cerebello-pontine angle. The oncologic and functional follow-up over 1 to 7 years showed different patterns of slow progression of hearing loss and of persistent auditory function over 2 to 7 years. Facial nerve function was excellent in 16 of the 18 controlled cases. Continued CT or MRT imaging revealed no signaling in 2 cases, constant tumour sizes in 10 cases and slow progression in 3 cases. With regard to the importance of an auditory communication in the younger adult, the described treatment modality appears to be the first choice method.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016489.1992.11665411</identifier><identifier>PMID: 1604986</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Taylor & Francis</publisher><subject>Adult ; Audiometry, Pure-Tone ; Auditory Threshold - physiology ; bilateral acoustic neurinoma ; Biological and medical sciences ; Cochlear Nerve - physiopathology ; Cochlear Nerve - surgery ; Dichotic Listening Tests ; enlarged middle fossa approach ; Facial Nerve - physiopathology ; Facial Nerve - surgery ; Female ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Hearing Loss - physiopathology ; Humans ; Male ; Medical sciences ; neurofibromatosis 2 ; Neurofibromatosis 2 - physiopathology ; Neurofibromatosis 2 - surgery ; Postoperative Complications - physiopathology ; preservation of hearing ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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In 12 cases this was an operation on the last hearing ear with total deafness of the contralateral ear. If an auditus existed in both ears the better hearing ear was selected for the primary intervention. Early audiological controls evidenced residual hearing in 19 of the 20 cases operated on by the enlarged middle fossa approach, which was utilized inspite of the tumour diameters being between 1 and 6 cm in the cerebello-pontine angle. The oncologic and functional follow-up over 1 to 7 years showed different patterns of slow progression of hearing loss and of persistent auditory function over 2 to 7 years. Facial nerve function was excellent in 16 of the 18 controlled cases. Continued CT or MRT imaging revealed no signaling in 2 cases, constant tumour sizes in 10 cases and slow progression in 3 cases. With regard to the importance of an auditory communication in the younger adult, the described treatment modality appears to be the first choice method.</description><subject>Adult</subject><subject>Audiometry, Pure-Tone</subject><subject>Auditory Threshold - physiology</subject><subject>bilateral acoustic neurinoma</subject><subject>Biological and medical sciences</subject><subject>Cochlear Nerve - physiopathology</subject><subject>Cochlear Nerve - surgery</subject><subject>Dichotic Listening Tests</subject><subject>enlarged middle fossa approach</subject><subject>Facial Nerve - physiopathology</subject><subject>Facial Nerve - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Hearing Loss - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>neurofibromatosis 2</subject><subject>Neurofibromatosis 2 - physiopathology</subject><subject>Neurofibromatosis 2 - surgery</subject><subject>Postoperative Complications - physiopathology</subject><subject>preservation of hearing</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the ear, the auditive nerve and the facial nerve</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9v1DAQxS0Eape2HwHkA-KWxeN_iY9LCxSpgqpqpd4sx7GRKycudha03x5HuwtHTqPR-703o4fQWyBrIB35QAgByTu1BqXoGkBKwQFeoBVIAQ2lAl6i1QI1C3WKXpfytKyqEyfoBCThqpMr9HibXXH5l5lDmnDy-NqZHKYfOEz4Y4hmdtlEvLFpW-Zg8Te3rWoaTcH9Dl-5GPoKzA7fmjyHSt7VNLtknaNX3sTiLg7zDD18_nR_ed3cfP_y9XJz01im2NyIHiyl1BPi24G1Qg1cUu4I9III5sFZyVsGohe9N1a0arDUqlaJruOCWs7O0Pt97nNOP7euzHoMxboYzeTq07plhLSUdhWUe9DmVEp2Xj_nMJq800D0Uqk-VqqXSvWx0mp8c7iw7Uc3_LPtO6z6u4NuijXRZzPZUP5iglEuO1qxzR4Lk095NL9TjoOezS6mfPSw_7zyBwhBkc8</recordid><startdate>19920101</startdate><enddate>19920101</enddate><creator>Wigand, Malte Erik</creator><creator>Haid, Toni</creator><creator>Goertzen, Winfried</creator><creator>Wolf, Stephan</creator><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><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>19920101</creationdate><title>Preservation of Hearing in Bilateral Acoustic Neurinomas by Deliberate Partial Resection</title><author>Wigand, Malte Erik ; Haid, Toni ; Goertzen, Winfried ; Wolf, Stephan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-5b1c222f00f7d3759d4624e01b5053f1ec647315b5bfac579dc2c979588452c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adult</topic><topic>Audiometry, Pure-Tone</topic><topic>Auditory Threshold - physiology</topic><topic>bilateral acoustic neurinoma</topic><topic>Biological and medical sciences</topic><topic>Cochlear Nerve - physiopathology</topic><topic>Cochlear Nerve - surgery</topic><topic>Dichotic Listening Tests</topic><topic>enlarged middle fossa approach</topic><topic>Facial Nerve - physiopathology</topic><topic>Facial Nerve - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Hearing Loss - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>neurofibromatosis 2</topic><topic>Neurofibromatosis 2 - physiopathology</topic><topic>Neurofibromatosis 2 - surgery</topic><topic>Postoperative Complications - physiopathology</topic><topic>preservation of hearing</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the ear, the auditive nerve and the facial nerve</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wigand, Malte Erik</creatorcontrib><creatorcontrib>Haid, Toni</creatorcontrib><creatorcontrib>Goertzen, Winfried</creatorcontrib><creatorcontrib>Wolf, Stephan</creatorcontrib><collection>Pascal-Francis</collection><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>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wigand, Malte Erik</au><au>Haid, Toni</au><au>Goertzen, Winfried</au><au>Wolf, Stephan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preservation of Hearing in Bilateral Acoustic Neurinomas by Deliberate Partial Resection</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>1992-01-01</date><risdate>1992</risdate><volume>112</volume><issue>2</issue><spage>237</spage><epage>241</epage><pages>237-241</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>With the aim of preserving hearing, 20 acoustic neurinomas in 17 patients with neurofibromatosis 2 were intentionally submitted to an incomplete (80%) tumour removal. In 12 cases this was an operation on the last hearing ear with total deafness of the contralateral ear. If an auditus existed in both ears the better hearing ear was selected for the primary intervention. Early audiological controls evidenced residual hearing in 19 of the 20 cases operated on by the enlarged middle fossa approach, which was utilized inspite of the tumour diameters being between 1 and 6 cm in the cerebello-pontine angle. The oncologic and functional follow-up over 1 to 7 years showed different patterns of slow progression of hearing loss and of persistent auditory function over 2 to 7 years. Facial nerve function was excellent in 16 of the 18 controlled cases. Continued CT or MRT imaging revealed no signaling in 2 cases, constant tumour sizes in 10 cases and slow progression in 3 cases. With regard to the importance of an auditory communication in the younger adult, the described treatment modality appears to be the first choice method.</abstract><cop>Stockholm</cop><pub>Taylor & Francis</pub><pmid>1604986</pmid><doi>10.1080/00016489.1992.11665411</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta oto-laryngologica, 1992-01, Vol.112 (2), p.237-241 |
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| source | Taylor & Francis:Master (3349 titles); MEDLINE; Taylor & Francis Medical Library - CRKN |
| subjects | Adult Audiometry, Pure-Tone Auditory Threshold - physiology bilateral acoustic neurinoma Biological and medical sciences Cochlear Nerve - physiopathology Cochlear Nerve - surgery Dichotic Listening Tests enlarged middle fossa approach Facial Nerve - physiopathology Facial Nerve - surgery Female Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Hearing Loss - physiopathology Humans Male Medical sciences neurofibromatosis 2 Neurofibromatosis 2 - physiopathology Neurofibromatosis 2 - surgery Postoperative Complications - physiopathology preservation of hearing Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the ear, the auditive nerve and the facial nerve |
| title | Preservation of Hearing in Bilateral Acoustic Neurinomas by Deliberate Partial Resection |
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