Vestibular Schwannoma Resection with Ipsilateral Simultaneous Cochlear Implantation in Patients with Normal Contralateral HearingSanna M.a · Medina M.b · Macak A.a · Rossi G.a · Sozzi V.a · Prasad S.C.a
aOtology and Skull Base Unit, Gruppo Otologico Piacenza-Roma, Rome, Italy; bOtology and Skull Base Unit, Otolaryngology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Article / Publication Details
Objective: To report the hearing results of cochlear implantation simultaneous to vestibular schwannoma (VS) resection by means of a translabyrinthine approach in patients with normal contralateral hearing. Methods: This was a prospective study including adults with sporadic VS. Tumors were resected by means of a modified translabyrinthine approach with preservation of the cochlear nerve. Results: A total of 13 patients underwent cochlear implantation. At 14 months, the mean pure-tone audiogram was 56 dB. The mean speech recognition was 80%. Cochlear implantation provides monaural and binaural benefits in all the conditions tested, including sound localization. Conclusions: Cochlear implantation can be safely performed simultaneously to VS resection with satisfactory hearing results provided that the cochlear nerve is anatomically intact.
© 2016 S. Karger AG, Basel
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