HEARING PRESERVATION IN ACOUSTIC TUMOR SURGERY - RESULTS AND PROGNOSTIC FACTORS

被引:91
作者
DORNHOFFER, JL [1 ]
HELMS, J [1 ]
HOEHMANN, DH [1 ]
机构
[1] JULIUS MAXIMILIANS UNIV,DEPT OTOLARYNGOL,WURZBURG,GERMANY
关键词
D O I
10.1288/00005537-199502000-00014
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A retrospective study was conducted to assess the hearing results in patients who underwent acoustic neuroma removal via the middle fossa approach. A statistical correlation of results with preoperative clinical and audiological data determined if any prognostic indicators could be associated with successful hearing preservation, Of 93 patients included in the study, useful hearing was preserved in 54 (58%), and hearing was preserved near preoperative levels in 42 (45%), The potential for hearing preservation appeared to be inversely related to the size of the acoustic tumor, with hearing preserved in 39 (60%) of 65 patients with tumors less than or equal to 0.5 cm extension into the cerebellopontine angle. Preoperative hearing levels and electronystagmography seemed to have no prognostic value. However, auditory brainstem response showed that a wave V latency of less than 6.8 msec was associated with an increased chance of hearing preservation, and the presence of vertigo as a preoperative complaint appeared to be a good prognostic indicator of successful hearing preservation.
引用
收藏
页码:184 / 187
页数:4
相关论文
共 16 条
  • [1] MIDDLE CRANIAL FOSSA ACOUSTIC NEUROMA EXCISION - RESULTS AND COMPLICATIONS
    GANTZ, BJ
    HARKER, LA
    PARNES, LS
    MCCABE, BF
    [J]. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1986, 95 (05) : 454 - 459
  • [2] GLASSCOCK ME, 1987, LARYNGOSCOPE, V97, P785
  • [3] REAL-TIME MONITORING OF BRAIN-STEM AUDITORY EVOKED-RESPONSE (BAER) DURING CEREBELLOPONTINE ANGLE (CPA) SURGERY
    HAMMERSCHLAG, PE
    BERG, HM
    PRICHEP, LS
    JOHN, ER
    COHEN, NL
    RANSOHOFF, J
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1986, 95 (05) : 538 - 542
  • [4] HARNER SG, 1984, LARYNGOSCOPE, V94, P1431
  • [5] HOEHMANN D, 1991, AM J OTOL, V12, P172
  • [6] KEMINK JL, 1990, LARYNGOSCOPE, V100, P597
  • [7] PRESERVATION OF HEARING IN SURGICAL REMOVAL OF ACOUSTIC NEUROMAS OF THE INTERNAL AUDITORY-CANAL AND CEREBELLAR PONTINE ANGLE
    NADOL, JB
    LEVINE, R
    OJEMANN, RG
    MARTUZA, RL
    MONTGOMERY, WW
    DESANDOVAL, PK
    [J]. LARYNGOSCOPE, 1987, 97 (11) : 1287 - 1294
  • [8] SANNA M, 1987, AM J OTOL, V8, P500
  • [9] SELESNICK SH, 1992, OTOLARYNG CLIN N AM, V25, P521
  • [10] THE CHANGING CLINICAL PRESENTATION OF ACOUSTIC TUMORS IN THE MRI ERA
    SELESNICK, SH
    JACKLER, RK
    PITTS, LW
    [J]. LARYNGOSCOPE, 1993, 103 (04) : 431 - 436