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Hearing preservation in vestibular schwannoma surgery: fact or fantasy?

Published online by Cambridge University Press:  29 June 2007

Mario Sanna ,
Sandeep Karmarkar  and
Mauro Landolfi
Mario Sanna*
Affiliation:
Gruppo Otologico, Piacenza, Italy
Sandeep Karmarkar
Affiliation:
ENT Surgeon, Nagpur, India.
Mauro Landolfi
Affiliation:
Gruppo Otologico, Piacenza, Italy
*
Address for correspondence: Mario Sanna, M. D., Gruppo Otologico, Via Emmanueli 42. 29100 Piacenza, Italy, Fax: 0039 523 453708
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Abstract

This study reviews 57 papers dealing with the issue of hearing preservation in vestibular schwannoma surgery published in otolaryngologic and neurosurgical literature between theyears 1977 and 1994. The authors', in this review, have made an attempt to verify whether the claims of hearing preservation are real, whether there is a price to be paid in terms of morbidity and whether there are univocal criteria for reporting results. The review shows that there is a wide disarray in reporting hearing results and the claims of hearing preservation are often unreal and misleading. On retabulating the results of a few series according to the minimal prerequisites for normal hearing (PTA ≤3O dB and SDS ≥70 per cent) and according to other various commonly reported criteria, it became evident that rates of hearing preservation differeda lot depending upon criteria. While any measurable hearing could be preserved in many cases, only a few had normal hearing preserved.

Keywords

Vestibular schwannomaHearing disordersReview literature
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 5 , May 1995 , pp. 374 - 380
Copyright
Copyright © JLO (1984) Limited 1995

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Footnotes

This work has been supplied by a grant from the Associazione Italiana Neurotologica (A.I.N.O.T.).

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