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Skull base surgery. 1999; 9(3): 169–176.
PMCID: PMC1656729

Does Hearing Preservation Surgery for Acoustic Neuromas Affect Tinnitus?


Questionnaires returned from 202 patients who had undergone acoustic neuroma resection were analyzed with special reference to the effect on tinnitus of surgery that attempted to preserve hearing versus surgery that did not. We also examined the relationship between postoperative hearing and tinnitus following surgery to preserve hearing (103 patients, HP group). The incidence of preoperative tinnitus in the HP group was 78.6%; postoperatively it increased to 89.3% (p = 0.0367). The remaining 99 patients (non-HP) underwent labyrinthectomy during tumor resection. In this group tinnitus occurred in 72.7% preoperatively and in 67.3% postoperatively (p = 0.4097). Our findings show that when tinnitus was absent preoperatively, 85% of the HP group developed it postoperatively compared to 31% of patients in the non-HP group. The outcome of surgery to preserve hearing had no bearing on the loudness or annoyance of postoperative tinnitus. Although postoperative tinnitus is tolerable to most patients, they must be informed prior to surgery about its possible occurrence or worsening, especially if the goal is to preserve hearing.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • 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]
  • Berliner KI, Shelton C, Hitselberger WE, Luxford WM. Acoustic tumors: effect of surgical removal on tinnitus. Am J Otol. 1992 Jan;13(1):13–17. [PubMed]
  • Baguley DM, Moffat DA, Hardy DG. What is the effect of translabyrinthine acoustic schwannoma removal upon tinnitus? J Laryngol Otol. 1992 Apr;106(4):329–331. [PubMed]
  • Henrich DE, McCabe BF, Gantz BJ. Tinnitus and acoustic neuromas: analysis of the effect of surgical excision on postoperative tinnitus. Ear Nose Throat J. 1995 Jul;74(7):462–466. [PubMed]
  • Harcourt J, Thomsen J, Tos M. Translabyrinthine vestibular schwannoma surgery: postoperative tinnitus and cochlear nerve integrity. Auris Nasus Larynx. 1997;24(1):21–26. [PubMed]
  • Catalano PJ, Post KD. Elimination of tinnitus following hearing preservation surgery for acoustic neuromas. Am J Otol. 1996 May;17(3):443–445. [PubMed]
  • Kanzaki J, Kawase T, Sano K, Shiobara R, Toya S. A modified extended middle cranial fossa approach for acoustic tumors. Arch Otorhinolaryngol. 1977 Jun 30;217(1):119–121. [PubMed]
  • Kanzaki J, Shiobara R, Toya S. Classification of the extended middle cranial fossa approach. Acta Otolaryngol Suppl. 1991;487:6–16. [PubMed]
  • Kunihiro T, Kanzaki J, Yoshihara S, Satoh Y, Shiobara R, Abe S. Electromyographic analysis of profound facial nerve paralysis following acoustic neuroma resection. ORL J Otorhinolaryngol Relat Spec. 1997 May-Jun;59(3):159–165. [PubMed]
  • HOUSE WF. Surgical exposure of the internal auditory canal and its contents through the middle, cranial fossa. Laryngoscope. 1961 Nov;71:1363–1385. [PubMed]
  • Goel A, Sekhar LN, Langheinrich W, Kamerer D, Hirsch B. Late course of preserved hearing and tinnitus after acoustic neurilemoma surgery. J Neurosurg. 1992 Nov;77(5):685–689. [PubMed]
  • Silverstein H, Haberkamp T, Smouha E. The state of tinnitus after inner ear surgery. Otolaryngol Head Neck Surg. 1986 Nov;95(4):438–441. [PubMed]

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