Anzeige
Erschienen in:
02.09.2016 | Originalien
Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants
English version
Erschienen in: HNO | Sonderheft 1/2017
Einloggen, um Zugang zu erhaltenAbstract
Background
To date, the therapy of intralabyrinthine schwannoma consists mainly of a wait-and-see approach, completely ignoring auditory rehabilitation. Only a few single-case reports are as yet available on treatment with cochlear implants (CI).
Aim of the study
This study aimed to assess the results of auditory rehabilitation after treatment with CI in a series of cases.
Materials and methods
The demographic findings, symptoms, and results of surgical therapy in 8 patients were evaluated in a retrospective analysis.
Results
Prior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3 patients. Among the patients, 4 had an intracochlear and 3 an intravestibular schwannoma, and a transmodiolar schwannoma was found in 1 patient. A total of 6 patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.
Conclusion
CI treatment following resection of an intralabyrinthine schwannoma is a promising option for auditory rehabilitation, even in single-sided deafness. This is a new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.