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Rigshospitalet - a part of Copenhagen University Hospital
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Systematic Review of Hearing Preservation in Observed Vestibular Schwannoma

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  1. One Piece Orbitozygomatic Approach Based on the Sphenoid Ridge Keyhole: Anatomical Study

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  2. Techniques for Preservation of the Frontotemporal Branch of Facial Nerve during Orbitozygomatic Approaches

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  3. Outcome after translabyrinthine surgery for vestibular schwannomas: report on 1244 patients

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  1. Cochlear MRI Signal Change Following Vestibular Schwannoma Resection Depends on Surgical Approach

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  2. Association of SLC26A4 mutations, morphology, and hearing in pendred syndrome and NSEVA

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  3. Knogleforankrede høreapparater og aktive mellemøreimplantater

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Objective  This is a systematic review of the literature on the spontaneous course of hearing in patients observed with a vestibular schwannoma. Included studies are appraised using the Grading of Recommendations Assessment, Development and Evaluation system. Design  PubMed, Embase, Medline, Cochrane library, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) were searched for literature on hearing in patients observed with a vestibular schwannoma. Participants  Of 217 evaluated papers, 15 were included, representing a total of 2,142 patients. Main Outcome Measures  Hearing according to the AAO-HNS (American Academy of Otorhinolaryngology- Head and Neck Surgery) classification system. Weighted average of the proportion of patients preserving good hearing (>70% discrimination score and pure tone audiometry [PTA] < 30dB) and serviceable hearing (>50% discrimination score and PTA < 50dB) was determined. Results  Fifty percent of patients presenting with good hearing at diagnosis had preserved this after a mean of 5 years of observation, whereas serviceable hearing was preserved in 54%. Patients with normal discrimination at diagnosis preserve their hearing very well. Very few studies exist on long-term hearing preservation. Conclusions  After 5 years of observation, around half of patients will have preserved good or serviceable hearing. Patients with normal discrimination at diagnosis are more likely to preserve good hearing.

Original languageEnglish
JournalJournal of neurological surgery. Part B, Skull base
Volume80
Issue number2
Pages (from-to)165-168
Number of pages4
ISSN2193-6331
DOIs
Publication statusPublished - Apr 2019

ID: 58869329