title: Habilitation of auditory and vestibular dysfunction.
abstract: Although unilateral hearing loss is often the initial sign of vestibular schwannoma (VS), the pathogenesis of the associated structures within the cerebellopontine angle can result in vestibular, facial, or vascular symptoms. Removal of a VS causes deficits in hearing, balance, and gaze stability. The resulting hearing loss eliminates the benefits of binaural listening that provide localization, loudness summation, and listening-in-noise ability. Reduced balance and gaze stability increase fall risk. This review discusses modern treatment options for auditory and vestibular rehabilitation including contralateral routing of signals (CROS), bilateral CROS, bone-anchored implants, tinnitus management, gaze and gait stability exercises.
authors.affiliation: Department of Otolaryngology, University of Miami, 1120 Northwest 14th Street, Fifth Floor, Miami, FL 33136, USA.
authors.forename: Hillary A
authors.initials: HA
authors.lastname: Snapp
authors.forename: Michael C
authors.initials: MC
authors.lastname: Schubert
mesh_terms: D001299:Audiometry / Q000379:methods; D003054:Cochlear Implants; D005260:Female; D005500:Follow-Up Studies; D006310:Hearing Aids; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000534:rehabilitation*; D046088:Hearing Loss, Unilateral / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D009464:Neuroma, Acoustic / Q000175:diagnosis / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000534:rehabilitation*; D016634:Radiosurgery / Q000009:adverse effects / Q000379:methods; D016896:Treatment Outcome