Vestibular Schwannoma Resection with Ipsilateral Simultaneous Cochlear Implantation in Patients with Normal Contralateral Hearing.
To report the hearing results of cochlear implantation simultaneous to vestibular schwannoma (VS) resection by means of a translabyrinthine approach in patients with normal contralateral hearing.



This was a prospective study including adults with sporadic VS. Tumors were resected by means of a modified translabyrinthine approach with preservation of the cochlear nerve.



A total of 13 patients underwent cochlear implantation. At 14 months, the mean pure-tone audiogram was 56 dB. The mean speech recognition was 80%. Cochlear implantation provides monaural and binaural benefits in all the conditions tested, including sound localization.



Cochlear implantation can be safely performed simultaneously to VS resection with satisfactory hearing results provided that the cochlear nerve is anatomically intact.
Otology and Skull Base Unit, Gruppo Otologico Piacenza-Roma, Rome, Italy.
Mario
M
Sanna
María Del Mar
MD
Medina
Aldin
A
Macak
Gianluca
G
Rossi
Valerio
V
Sozzi
Sampath Chandra
SC
Prasad
D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D019929:Cochlear Implantation / Q000379:methods*; D003056:Cochlear Nerve; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000601:surgery*; D011446:Prospective Studies; D013017:Sound Localization; D013067:Speech Perception; D016896:Treatment Outcome