Simultaneous Translabyrinthine Tumor Removal and Cochlear Implantation in Vestibular Schwannoma Patients.
Refinement of surgical techniques has allowed hearing preservation after tumor resection to be prioritized. Moreover, restoration of hearing after tumor removal can be attempted in patients with bilateral vestibular schwannomas or those with a schwannoma in the only-hearing ear. Cochlear implantation (CI) has emerged as a proper method of acoustic rehabilitation, provided that the cochlear nerve remains intact. Studies of electrical promontory stimulation in patients after vestibular schwannoma resection have demonstrated favorable results. We describe herein two cases of hearing rehabilitation via CI implemented at the time of vestibular schwannoma resection. Tumors were totally removed, and cochlear implant electrodes were successfully inserted in both cases. Also, post operative CI-aided hearing showed improved results.
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Jin Won
JW
Kim
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Ji Hyuk
JH
Han
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Jin Woong
JW
Kim
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. ismoonmd@yuhs.ac.
In Seok
IS
Moon
D000368:Aged; D019929:Cochlear Implantation / Q000379:methods*; D003056:Cochlear Nerve / Q000473:pathology / Q000601:surgery; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016518:Neurofibromatosis 2 / Q000175:diagnosis / Q000601:surgery*; D009464:Neuroma, Acoustic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
Vestibular schwannoma; cochlear implantation; translabyrinthine approach