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Hearing conservation in acoustic neuroma surgery via the posterior fossa

Published online by Cambridge University Press:  29 June 2007

D. L. Baldwin ,
T. T. King  and
A. W. Morrisin
D. L. Baldwin*
Affiliation:
The Department of Otolaryogology, The London Hospital, Whitechapel, LondonE1 1BB.
T. T. King
Affiliation:
The Department of Neurosurgery, The London Hospital, Whitechapel, LondonE1 1BB.
A. W. Morrisin
Affiliation:
The Department of Otolaryogology, The London Hospital, Whitechapel, LondonE1 1BB.
*
Mr. David L. Baldwin F.R.C.S., Department of Otolaryngology, St. Mary's Hospital, Praed Street, London W2.
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Abstract

An increasing number of patients with an acoustic neuroma present with useful hearing in the tumour ear. Surgical removal of these tumours via the posterior fossa route may enable preservation of the cochlear nerve and otic capsule without increasing the morbidity to the facial nerve. The results of treating 51 cases of acoustic neuroma via the posterior fossa is presented. Forty four tumours measured less than 20 mm in diameter in the cerebellopontine angle and surgery was undertaken with hearing preservation as a principle objective. In 26 cases, the cochlear nerve was preserved anatomically and post-operative hearing at levels better than mean pure tone threshold of 50 dB or 50 per cent speech discrimination was recorded in 14 patients. The preservation of hearing represents a worthwhile surgical goal in selected patients with an acoustic neuroma without increasing the operative morbidity.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 6 , June 1990 , pp. 463 - 467
Copyright
Copyright © JLO (1984) Limited 1990

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