Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Sporadic and NF2-associated vestibular schwannoma surgery and simultaneous cochlear implantation: a comparative systematic review

Publikation: Bidrag til tidsskriftReviewForskningpeer review

DOI

  1. Developing a national e-learning course in otorhinolaryngology: the Danish experience

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Ultra-high-fidelity virtual reality mastoidectomy simulation training: a randomized, controlled trial

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. FDG-PET/CT in the surveillance of head and neck cancer following radiotherapy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Value of pre- and intraoperative diagnostic methods in suspected glottic neoplasia

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. The effect of structured self-assessment in virtual reality simulation training of mastoidectomy

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Cochlear implant should not be absolute contraindication for electroconvulsive therapy and transcranial magnetic stimulation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Developing a national e-learning course in otorhinolaryngology: the Danish experience

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Tumor miRNA expression profile is related to vestibular schwannoma growth rate

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

PURPOSE: Cochlear implantation (CI) in patients with sensorineural hearing loss caused by a vestibular schwannoma (VS) represents a unique subtype of hearing rehabilitation, as the outcome may be compromised by vestibulocochlear nerve injury as part of the natural VS history or due to iatrogenic trauma induced by surgical tumor removal. This paper aims to review and report contemporary knowledge and practice regarding feasibility and outcomes of simultaneous vestibular schwannoma resection and cochlear implantation to serve as a reference and guide for future surgery and studies.

METHODS: The current literature was searched systematically according to the PRISMA guidelines and after criteria-based selection, 29 studies were identified, including a total of 86 patients who had undergone surgical resection of a vestibular schwannoma and subsequent cochlear implantation in a single procedure.

RESULTS: The postoperative outcomes were reported with a high degree of heterogeneity, hindering a proper meta-analysis. However, pooling those cases with reported speech discrimination outcomes demonstrated mean scores equivalent to moderate-to-high performance. A few cases had no audibility. A positive cochlear nerve test result was not a secure positive predictor of success. Complications were rare.

CONCLUSION: NF2-associated and sporadic VS had good and comparable postoperative outcomes despite significant differences in tumor size, location and surgical approach.

ID: 58980918