Journal
AUDIOLOGY AND NEURO-OTOLOGY
Volume 21, Issue 5, Pages 286-295Publisher
KARGER
DOI: 10.1159/000448583
Keywords
Vestibular schwannoma; Acoustic neuroma; Simultaneous implantation; Cochlear implant; Translabyrinthine approach; Single-sided deafness; Normal contralateral hearing
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Objective: 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. Methods: 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. Results: 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. Conclusions: Cochlear implantation can be safely performed simultaneously to VS resection with satisfactory hearing results provided that the cochlear nerve is anatomically intact. (C) 2016 S. Karger AG, Basel
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