We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hearing Rehabilitation with Cochlear Implants after CyberKnife Radiosurgery of Vestibular Schwannoma: A Report Based on Four Clinical Cases.
- Authors
Häußler, Sophia M.; Szczepek, Agnieszka J.; Gräbel, Stefan; Senger, Carolin; Löbel, Franziska; Kufeld, Markus; Olze, Heidi
- Abstract
Severe sensorineural hearing loss can be a symptom of the benign tumor vestibular schwannoma (VS). The treatment of VS with non-invasive stereotactic radiosurgery (SRS) offers a high local tumor control rate and an innovative possibility of sequential hearing rehabilitation with cochlear implantation. This study evaluated the feasibility, complications, and auditory outcomes of such a therapeutic approach. Three males and one female (mean age 65.3 ± 9.4 years) scheduled for cochlear implantation and diagnosed with sporadic VS classified as T1 or T2 (according to Samii) were enrolled in this study. All patients had progressive hearing loss qualifying them for cochlear implantation. First, the tumor was treated using CyberKnife SRS. Next, sequential auditory rehabilitation with a cochlear implant (CI) was performed. Clinical outcomes and surgical feasibility were analyzed, and audiological results were evaluated using pure tone audiometry and speech recognition tests. All patients exhibited open-set speech understanding. The mean word recognition score (at 65 dB SPL, Freiburg Monosyllabic Test, FMT) improved after cochlear implantation in all four patients from 5.0 ± 10% (with hearing aid) preoperatively to 60.0 ± 22.7% six months postoperatively. Our results suggest that in patients with profound hearing loss caused by sporadic vestibular schwannoma, the tumor removal with SRS followed by cochlear implantation is an effective method of auditory rehabilitation.
- Subjects
COCHLEAR implants; ACOUSTIC neuroma; AUDITORY neuropathy; RADIOSURGERY; HEARING aids; SENSORINEURAL hearing loss; SPEECH audiometry
- Publication
Brain Sciences (2076-3425), 2021, Vol 11, Issue 12, p1646
- ISSN
2076-3425
- Publication type
Article
- DOI
10.3390/brainsci11121646