Cochlear implantation: an effective modality for hearing restoration following vestibular schwannoma resection.

Publication/Presentation Date

10-1-2022

Abstract

PURPOSE OF REVIEW: Preservation of hearing is one of the tenets of vestibular schwannoma management. In recent years, cochlear implants have been employed with increasing use in patients who have suffered profound sensorineural hearing loss due to the natural history of vestibular schwannoma or due to injury to neurovascular anatomy at time of surgical resection.

RECENT FINDINGS: Cochlear implantation has been found to be an effective modality for hearing restoration following vestibular schwannoma. Simultaneous cochlear implantation has been employed by an increased number of centers around the world and has been shown to provide restoration of open set speech perception and return of binaural hearing. Ongoing use of electrically evoked auditory brainstem response (ABR) has improved our detection of viable cochlear nerves and provided insight into those who would benefit from this procedure. Finally, minimally invasive approaches to the internal auditory canal and intralabyrinthine tumors have been described. These methods frequently employ simultaneous cochlear implantation and have emphasized that hearing preservation remains possible with surgical excision despite the location of the tumor.

SUMMARY: Cochlear implantation is an effective modality for hearing restoration following vestibular schwannoma excision.

Volume

30

Issue

5

First Page

309

Last Page

313

ISSN

1531-6998

Disciplines

Medicine and Health Sciences

PubMedID

36036530

Department(s)

Department of Surgery, Division of Otolaryngology

Document Type

Article

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