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Skull base surgery. 1991 April; 1(2): 93–96.
PMCID: PMC1656329

Management of the Acoustic Neuroma in an Only Hearing Ear


Heightened physician awareness of the sociologic and psychologic trauma related to deafness coupled with an increased emphasis on early diagnosis has prompted the employment of sophisticated diagnostic studies in an attempt at identification of an acoustic neuroma as a cause of hearing loss. Because profound bilateral hearing impairment is a catastrophic event, the management and care of an individual with an eighth nerve lesion in an only hearing ear remains a significant challenge for both patient and physician. In this article we will summarize our experience with this unique patient population through case presentations that will include diagnostic testing and intraoperative and perioperative findings. The literature regarding diagnosis and management will be reviewed. Recommendations for options available in the care of these patients will be discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Gardner G, Robertson JH. Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol. 1988 Jan-Feb;97(1):55–66. [PubMed]
  • Shelton C, Hitselberger WE, House WF, Brackmann DE. Hearing preservation after acoustic tumor removal: long-term results. Laryngoscope. 1990 Feb;100(2 Pt 1):115–119. [PubMed]
  • Gantz BJ, Parnes LS, Harker LA, McCabe BF. Middle cranial fossa acoustic neuroma excision: results and complications. Ann Otol Rhinol Laryngol. 1986 Sep-Oct;95(5 Pt 1):454–459. [PubMed]
  • Nadol JB, Jr, Levine R, Ojemann RG, Martuza RL, Montgomery WW, de Sandoval PK. Preservation of hearing in surgical removal of acoustic neuromas of the internal auditory canal and cerebellar pontine angle. Laryngoscope. 1987 Nov;97(11):1287–1294. [PubMed]
  • Palva T, Troupp H, Jauhiainen T. Hearing preservation in acoustic neurinoma surgery. Acta Otolaryngol. 1985 Jan-Feb;99(1-2):1–7. [PubMed]
  • Koos WT. Criteria for preservation of vestibulocochlear nerve function during microsurgical removal of acoustic neurinomas. Acta Neurochir (Wien) 1988;92(1-4):55–66. [PubMed]
  • Neely JG. Hearing conservation surgery for acoustic tumors--a clinical-pathologic correlative study. Am J Otol. 1985 Nov;Suppl:143–146. [PubMed]
  • Wiet RJ, Young NM, Monsell EM, O'Connor CA, Kazan R. Age considerations in acoustic neuroma surgery: the horns of a dilemma. Am J Otol. 1989 May;10(3):177–180. [PubMed]
  • Wigand ME, Goertzen W, Berg M. Transtemporal planned partial resection of bilateral acoustic neurinomas. Acta Neurochir (Wien) 1988;92(1-4):50–54. [PubMed]
  • Rosenberg RA, Cohen NL, Ransohoff J. Long-term hearing preservation after acoustic neuroma surgery. Otolaryngol Head Neck Surg. 1987 Sep;97(3):270–274. [PubMed]
  • Glasscock ME, McKennan KX, Levine SC. Acoustic neuroma surgery: the results of hearing conservation surgery. Laryngoscope. 1987 Jul;97(7 Pt 1):785–789. [PubMed]
  • Wiegand DA, Fickel V. Acoustic neuroma--the patient's perspective: subjective assessment of symptoms, diagnosis, therapy, and outcome in 541 patients. Laryngoscope. 1989 Feb;99(2):179–187. [PubMed]
  • Frerebeau P, Benezech J, Uziel A, Coubes P, Segnarbieux F, Malonga M. Hearing preservation after acoustic neurinoma operation. Neurosurgery. 1987 Aug;21(2):197–200. [PubMed]

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