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Hearing preservation after removal of acoustic neurinoma
Author(s) -
Harner Stephen G.,
Laws Edward R.,
Onofrio Burton M.
Publication year - 1984
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198411000-00006
Subject(s) - medicine , acoustic neurinoma , audiology , hearing loss , surgery , middle fossa
Abstract Between January 1, 1978, and July 1, 1983, 149 patients underwent acoustic ncurinoma rcmovnl (151 procedures). Of these, 119 ears (118 patients) had had some degree of hearing on the affected side preoperatively, and in all of them the tumors had been removed by a posterior cranial fossa approach. Fourteen (12%) had measurable hearing preserved postoperatively — serviceable in eight cars and poor in six. The patients with preserved hearing had had their hearing loss for a shorter period, slightly better preoperative hearing levels, and a smaller tumor. The complications, morbidity, and mortality in this group were comparable to those in other series. It is concluded that preservation of hearing is a worthwhile goal that can be achieved without increased risk.

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