Yonsei Med J.  2016 Nov;57(6):1535-1539. 10.3349/ymj.2016.57.6.1535.

Simultaneous Translabyrinthine Tumor Removal and Cochlear Implantation in Vestibular Schwannoma Patients

Affiliations
  • 1Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea. ismoonmd@yuhs.ac

Abstract

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.

Keyword

Vestibular schwannoma; cochlear implantation; translabyrinthine approach

MeSH Terms

Aged
Cochlear Implantation/*methods
Cochlear Nerve/pathology/surgery
Female
Hearing Loss, Sensorineural/etiology/physiopathology/rehabilitation/surgery
Humans
Male
Middle Aged
Neurofibromatosis 2/diagnosis/*surgery
Neuroma, Acoustic/complications/diagnosis/*surgery
Retrospective Studies
Treatment Outcome
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