Efficacy of Corticosteroids in Hearing Preservation after Radiosurgery for Vestibular Schwannoma: A Prospective Study

2011 ◽  
Vol 89 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Jin Wook Kim ◽  
Dong Gyu Kim ◽  
Sun Ha Paek ◽  
Hyun-Tai Chung ◽  
Yong Hwy Kim ◽  
...  
Keyword(s):  
Prospective Study ◽  
Vestibular Schwannoma ◽  
Hearing Preservation ◽  
A Prospective Study

scholarly journals The Effect of Observation versus Microsurgical Excision on Quality of Life in Unilateral Vestibular Schwannoma: A Prospective Study

Skull Base ◽  
2010 ◽  
Vol 20 (01) ◽  
pp. 047-054 ◽  
Author(s):  
Dosh Sandooram ◽  
Rachael Hornigold ◽  
Beth Grunfeld ◽  
Nicholas Thomas ◽  
Neil Kitchen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Vestibular Schwannoma ◽  
A Prospective Study

scholarly journals Prehabilitation with Intratympanic Gentamycin in Vestibular Schwannoma Patients and Postoperative Contralateral Benefits: A Prospective Study

2018 ◽  
Vol 79 (S 01) ◽  
pp. S1-S188
Author(s):  
Natasha Amiraraghi ◽  
Margaret Gaggini ◽  
John Crowther ◽  
Richard Locke ◽  
Lorna Hastings ◽  
...  
Keyword(s):  
Prospective Study ◽  
Vestibular Schwannoma ◽  
A Prospective Study

Nerve origin of vestibular schwannoma: a prospective study

2007 ◽  
Vol 122 (2) ◽  
pp. 128-131 ◽  
Author(s):  
T Khrais ◽  
G Romano ◽  
M Sanna
Keyword(s):  
Vestibular Schwannoma ◽  
Tumour Size ◽  
Internal Auditory Canal ◽  
Hearing Preservation ◽  
Middle Cranial Fossa ◽  
Vestibular Nerve ◽  
Case Review ◽  
Explanatory Factors ◽  
Inferior Vestibular Nerve ◽  
A Prospective Study

AbstractObjective:The origin of vestibular schwannoma has always been a matter of debate. The aim of our study was to identify the nerve origin of this tumour.Study design:Prospective case review. This study was conducted at Gruppo Otologico, a private referral centre for neurotology and skull base surgery.Methods:A total of 200 cases of vestibular schwannoma were included in the study. All the tumours were removed surgically utilising the translabyrinthine approach. The origin of the tumour was sought at the fundus of the internal auditory canal.Results:A total of 200 consecutive cases was included in the study. The origin of the tumour was limited to one nerve at the fundus in 152 cases (76 per cent). Out of these cases, the tumour originated from the inferior vestibular nerve in 139 cases (91.4 per cent), from the superior vestibular nerve in nine cases (6 per cent), from the cochlear nerve in two cases (1.3 per cent) and from the facial nerve in two cases (1.3 per cent).Conclusion:The vast majority of vestibular schwannomas originate from the inferior vestibular nerve; the incidence of involvement of this nerve increases as the tumour size increases. An origin of vestibular schwannoma from the inferior vestibular nerve can be considered as one of the explanatory factors for the poor functional outcome of the extended middle cranial fossa approach, and probably accounts also for the better hearing preservation rate reported in some series for the retrosigmoid approach.

Gamma Knife Treatment of Growing Vestibular Schwannoma in Norway: A Prospective Study

2012 ◽  
Vol 84 (2) ◽  
pp. e161-e166 ◽  
Author(s):  
Jobin Kotakkathu Varughese ◽  
Tore Wentzel-Larsen ◽  
Paal-Henning Pedersen ◽  
Ruby Mahesparan ◽  
Morten Lund-Johansen
Keyword(s):  
Prospective Study ◽  
Gamma Knife ◽  
Vestibular Schwannoma ◽  
A Prospective Study

Impairments, Disabilities, Handicaps, and Quality of Life following Vestibular Schwannoma Management: A Prospective Study

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Michael Gleeson ◽  
Dosh Sandooram ◽  
Nicholas Thomas ◽  
Neil Kitchen ◽  
Beth Grunfeld
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Vestibular Schwannoma ◽  
A Prospective Study

scholarly journals Does Attempt at Hearing Preservation Microsurgery of Vestibular Schwannoma Affect Postoperative Tinnitus?

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Martin Chovanec ◽  
Eduard Zvěřina ◽  
Oliver Profant ◽  
Zuzana Balogová ◽  
Jan Kluh ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Vestibular Schwannoma ◽  
Hearing Preservation ◽  
Cochlear Nerve ◽  
Hearing Level ◽  
Eighth Cranial Nerve ◽  
A Prospective Study ◽  
Tumor Consistency ◽  
Neurovascular Structures ◽  
New Onset

Background. The aim of this study was to analyze the effect of vestibular schwannoma microsurgery via the retrosigmoid-transmeatal approach with special reference to the postoperative tinnitus outcome.Material and Methods. A prospective study was performed in 89 consecutive patients with unilateral vestibular schwannoma indicated for microsurgery. Patient and tumor related parameters, pre- and postoperative hearing level, intraoperative findings, and hearing and tinnitus handicap inventory scores were analyzed.Results. Cochlear nerve integrity was achieved in 44% corresponding to preservation of preoperatively serviceable hearing in 47% and useful hearing in 21%. Main prognostic factors of hearing preservation were grade/size of tumor, preoperative hearing level, intraoperative neuromonitoring, tumor consistency, and adhesion to neurovascular structures. Microsurgery led to elimination of tinnitus in 66% but also new-onset of the symptom in 14% of cases. Preservation of useful hearing and neurectomy of the eighth cranial nerve were main prognostic factors of tinnitus elimination. Preservation of cochlear nerve but loss of preoperative hearing emerged as the main factor for tinnitus persistence and new onset tinnitus. Decrease of THI scores was observed postoperatively.Conclusions. Our results underscore the importance of proper pre- and intraoperative decision making about attempt at hearing preservation versus potential for tinnitus elimination/risk of new onset of tinnitus.

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