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Skull base surgery. 1997; 7(3): 109–113.
PMCID: PMC1656633

Hearing Preservation Surgery in Acoustic Neuroma Patients with Normal Hearing

Abstract

Acoustic neuroma (AN) patients who had normal hearing accounted for 7% of all our AN cases. It is important to identify AN patients who have normal hearing but are suffering from tinnitus, dizziness, or vertigo, or a combination of these symptoms (without hearing loss), in order to make an early diagnosis. Patients who experience sudden hearing loss and recover completely should also be thoroughly examined in order to rule out AN. In this article, we describe an investigation of the clinical features and results of hearing preservation surgery in AN patients with normal hearing. The overall hearing preservation rate was 57%. The hearing preservation rate did not depend on the auditory brainstem response (ABR) pattern, tumor size, or the origin of the tumor. We think that patients must be properly informed concerning all aspects of the surgery, including the possibility that hearing and/or facial nerve function cannot be preserved.

Full text

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kanzaki J, Ogawa K, Ikeda S. Changes in clinical features of acoustic neuroma. Acta Otolaryngol Suppl. 1991;487:120–124. [PubMed]
  • Hart RG, Gardner DP, Howieson J. Acoustic tumors: atypical features and recent diagnostic tests. Neurology. 1983 Feb;33(2):211–221. [PubMed]
  • Beck HJ, Beatty CW, Harner SG, Ilstrup DM. Acoustic neuromas with normal pure tone hearing levels. Otolaryngol Head Neck Surg. 1986 Jan;94(1):96–103. [PubMed]
  • Roland PS, Glasscock ME, 3rd, Bojrab DI, Josey AF. Normal hearing in patients with acoustic neuroma. South Med J. 1987 Feb;80(2):166–169. [PubMed]
  • Ogawa K, Kanzaki J, Ogawa S, Tsuchihashi N, Yamamoto M. Acoustic neuromas with normal hearing. Acta Otolaryngol Suppl. 1991;487:144–149. [PubMed]
  • Saleh EA, Aristegui M, Naguib MB, Cokesser Y, Landolfi M, Sanna M. Normal hearing in acoustic neuroma patients: a critical evaluation. Am J Otol. 1996 Jan;17(1):127–132. [PubMed]
  • Pensak ML, Glasscock ME, 3rd, Josey AF, Jackson CG, Gulya AJ. Sudden hearing loss and cerebellopontine angle tumors. Laryngoscope. 1985 Oct;95(10):1188–1193. [PubMed]
  • Berg HM, Cohen NL, Hammerschlag PE, Waltzman SB. Acoustic neuroma presenting as sudden hearing loss with recovery. Otolaryngol Head Neck Surg. 1986 Jan;94(1):15–22. [PubMed]
  • Ogawa K, Kanzaki J, Ogawa S, Tsuchihashi N, Inoue Y. Acoustic neuromas presenting as sudden hearing loss. Acta Otolaryngol Suppl. 1991;487:138–143. [PubMed]
  • Yanagihara N, Asai M. Sudden hearing loss induced by acoustic neuroma: significance of small tumors. Laryngoscope. 1993 Mar;103(3):308–311. [PubMed]
  • Moffat DA, Baguley DM, von Blumenthal H, Irving RM, Hardy DG. Sudden deafness in vestibular schwannoma. J Laryngol Otol. 1994 Feb;108(2):116–119. [PubMed]
  • Saunders JE, Luxford WM, Devgan KK, Fetterman BL. Sudden hearing loss in acoustic neuroma patients. Otolaryngol Head Neck Surg. 1995 Jul;113(1):23–31. [PubMed]
  • Berenholz LP, Eriksen C, Hirsh FA. Recovery from repeated sudden hearing loss with corticosteroid use in the presence of an acoustic neuroma. Ann Otol Rhinol Laryngol. 1992 Oct;101(10):827–831. [PubMed]
  • Kanzaki J, Shiobara R, Toya S. Classification of the extended middle cranial fossa approach. Acta Otolaryngol Suppl. 1991;487:6–16. [PubMed]
  • Kanzaki J. Present state of early neurotological diagnosis of acoustic neuroma. ORL J Otorhinolaryngol Relat Spec. 1986;48(4):193–198. [PubMed]
  • Kanzaki J, Ogawa K, Ogawa S, Yamamoto M, Ikeda S, O-Uchi T. Audiological findings in acoustic neuroma. Acta Otolaryngol Suppl. 1991;487:125–132. [PubMed]
  • Kanzaki J, O-Uchi T, Ogawa K, Shiobara R, Toya S. Hearing preservation by the extended and nonextended middle cranial fossa approach for acoustic neuroma. Skull Base Surg. 1994;4(2):76–81. [PMC free article] [PubMed]

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