title: Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants : English version.
abstract: BACKGROUND
  To date, the therapy of intralabyrinthine schwannoma consists mainly of a wait-and-see approach, completely ignoring auditory rehabilitation. Only a few single-case reports are as yet available on treatment with cochlear implants (CI).
  
  
  OBJECTIVE
  This study aimed to assess the results of auditory rehabilitation after treatment with CI in a series of cases.
  
  
  METHODS
  The demographic findings, symptoms, and results of surgical therapy in 8 patients were evaluated in a retrospective analysis.
  
  
  RESULTS
  Prior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3 patients. Among the patients, 4 had an intracochlear and 3 an intravestibular schwannoma, and a transmodiolar schwannoma was found in 1 patient. A total of 6 patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.
  
  
  CONCLUSIONS
  CI treatment following resection of an intralabyrinthine schwannoma is a promising option for auditory rehabilitation, even in single-sided deafness. This is a new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany. antje.aschendorff@uniklinik-freiburg.de.
authors: A
authors: A
authors: Aschendorff
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany.
authors: S
authors: S
authors: Arndt
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany.
authors: R
authors: R
authors: Laszig
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany.
authors: T
authors: T
authors: Wesarg
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany.
authors: F
authors: F
authors: Hassepaß
authors: Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany.
authors: R
authors: R
authors: Beck
mesh_terms: D019929:Cochlear Implantation / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D012048:Correction of Hearing Impairment / Q000379:methods; D005260:Female; D034381:Hearing Loss / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D009464:Neuroma, Acoustic / Q000150:complications / Q000534:rehabilitation* / Q000601:surgery*; D016896:Treatment Outcome
keywords: Hearing aids; Neoplasms; Tinnitus; Unilateral hearing loss; Vertigo