Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome
Intralabyrinthine schwannoma (ILS) is a rare benign tumor of the inner ear potentially causing unilateral sensorineural hearing loss and vertigo. This study evaluated the outcome of one surgical session comprising microsurgical ILS resection and cochlear implantation in terms of surgical feasibility...
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doaj-2be37f3d1e0a49798a5c60cb76d721c22021-09-09T13:49:38ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-01103899389910.3390/jcm10173899Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory OutcomeSophia Marie Häussler0Agnieszka J. Szczepek1Stefan Gräbel2Heidi Olze3Department of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, 13353 Berlin, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Campus Charité Mitte, Charité–Universitätsmedizin Berlin, 10117 Berlin, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, 13353 Berlin, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, 13353 Berlin, GermanyIntralabyrinthine schwannoma (ILS) is a rare benign tumor of the inner ear potentially causing unilateral sensorineural hearing loss and vertigo. This study evaluated the outcome of one surgical session comprising microsurgical ILS resection and cochlear implantation in terms of surgical feasibility, complications, and auditory outcome. Ten clinically and histologically confirmed ILS patients included in this study (three women and seven men; mean age 56.4 ± 8.6) underwent surgery between July 2015 and February 2020. Eight patients had intracochlear tumor location; the remaining two had vestibulocochlear and intravestibular ILS. One of the three following methods was used for tumor removal: an extended cochleostomy, subtotal cochleoectomy, or a translabyrinthine approach. Although negligible improvement was observed in two of the patients, two patients were lost to follow-up, and one opted out from using CI, the speech perception of the five remaining ILS patients improved as per the Freiburg Monosyllable Test (FMT) from 0% before surgery to 45– 50% after the implantation. Our study supports the presented surgical approach’s feasibility and safety, enabling tumor removal and hearing restoration shortly after surgery.https://www.mdpi.com/2077-0383/10/17/3899schwannomaintralabyrinthine schwannomamicrosurgical resectioncochlear implantation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sophia Marie Häussler Agnieszka J. Szczepek Stefan Gräbel Heidi Olze |
spellingShingle |
Sophia Marie Häussler Agnieszka J. Szczepek Stefan Gräbel Heidi Olze Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome Journal of Clinical Medicine schwannoma intralabyrinthine schwannoma microsurgical resection cochlear implantation |
author_facet |
Sophia Marie Häussler Agnieszka J. Szczepek Stefan Gräbel Heidi Olze |
author_sort |
Sophia Marie Häussler |
title |
Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome |
title_short |
Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome |
title_full |
Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome |
title_fullStr |
Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome |
title_full_unstemmed |
Challenges of Cochlear Implantation in Intralabyrinthine Schwannoma Patients: Surgical Procedures and Auditory Outcome |
title_sort |
challenges of cochlear implantation in intralabyrinthine schwannoma patients: surgical procedures and auditory outcome |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-08-01 |
description |
Intralabyrinthine schwannoma (ILS) is a rare benign tumor of the inner ear potentially causing unilateral sensorineural hearing loss and vertigo. This study evaluated the outcome of one surgical session comprising microsurgical ILS resection and cochlear implantation in terms of surgical feasibility, complications, and auditory outcome. Ten clinically and histologically confirmed ILS patients included in this study (three women and seven men; mean age 56.4 ± 8.6) underwent surgery between July 2015 and February 2020. Eight patients had intracochlear tumor location; the remaining two had vestibulocochlear and intravestibular ILS. One of the three following methods was used for tumor removal: an extended cochleostomy, subtotal cochleoectomy, or a translabyrinthine approach. Although negligible improvement was observed in two of the patients, two patients were lost to follow-up, and one opted out from using CI, the speech perception of the five remaining ILS patients improved as per the Freiburg Monosyllable Test (FMT) from 0% before surgery to 45– 50% after the implantation. Our study supports the presented surgical approach’s feasibility and safety, enabling tumor removal and hearing restoration shortly after surgery. |
topic |
schwannoma intralabyrinthine schwannoma microsurgical resection cochlear implantation |
url |
https://www.mdpi.com/2077-0383/10/17/3899 |
work_keys_str_mv |
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