Treatment of an acoustic neuroma in an only-hearing ear: Case reports and considerations for the future

Current options regarding the treatment of acoustic neuroma in an only‐hearing ear include: observation, attempted hearing preservation surgery, and stereotactically guided radiation therapy. A patient who had a left labyrinthectomy for Meniere's disease presented 15 years later with a large ri...

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Veröffentlicht in:The Laryngoscope 1993-09, Vol.103 (9), p.976-980
Hauptverfasser: Thedinger, Britt A., Cueva, Roberto A., Glasscock III, Michael E.
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container_end_page 980
container_issue 9
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container_title The Laryngoscope
container_volume 103
creator Thedinger, Britt A.
Cueva, Roberto A.
Glasscock III, Michael E.
description Current options regarding the treatment of acoustic neuroma in an only‐hearing ear include: observation, attempted hearing preservation surgery, and stereotactically guided radiation therapy. A patient who had a left labyrinthectomy for Meniere's disease presented 15 years later with a large right acoustic neuroma. Due to anticipated profound deafness, he fit the criteria for cochlear implantation. Promontory stimulation of the left ear was positive. He underwent successful left cochlear implantation with the Nucleus® 22‐channel device and was successfully rehabilitated. He then underwent translabyrinthine removal of his right‐sided 2.5‐cm acoustic neuroma. This case is used to illustrate a new option available to those faced with treating a patient with acoustic neuroma in an only‐hearing ear. How this approach may fit in with other available options will be discussed.
doi_str_mv 10.1288/00005537-199309000-00006
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source MEDLINE; Journals@Ovid Complete
subjects Biological and medical sciences
Cochlear Implants
Cranial Nerve Neoplasms - surgery
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Female
Hearing
Hearing Loss - surgery
Hearing Loss, Sensorineural - drug therapy
Hearing Loss, Sensorineural - surgery
Humans
Male
Medical sciences
Meniere Disease - surgery
Middle Aged
Neuroma, Acoustic - surgery
Otorhinolaryngology. Stomatology
Patient Care Planning
Retrospective Studies
Tumors
Vestibulocochlear Nerve Diseases - surgery
title Treatment of an acoustic neuroma in an only-hearing ear: Case reports and considerations for the future
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