Auditory and facial nerve function following surgery for cerebellopontine angle meningiomas

Archives of Otolaryngology--head & Neck Surgery
Pete S BatraR J Wiet

Abstract

To investigate the postoperative auditory and facial nerve function results after cerebellopontine angle meningioma removal. Retrospective chart review. Tertiary care referral center. Twenty-one patients undergoing surgical removal of cerebellopontine angle meningiomas by the senior author (R.J.W.). Translabyrinthine or retrosigmoid approach for tumor extirpation. Postoperative auditory (pure-tone average and speech discrimination score) and facial (House-Brackmann scale) function within 1 year of follow-up. Twenty-three operations were performed on 21 patients. Hearing preservation through the retrosigmoid approach was attempted in 11 patients (48%). Normal hearing (class A) was preserved in 9 of 10 patients. Normal postoperative facial nerve function (House-Brackmann grade I) was conserved in 11 (65%) of 17 patients. This review demonstrates that successful hearing preservation is possible with meningiomas. Therefore, the retrosigmoid approach should be used whenever serviceable hearing is present preoperatively. Normal facial nerve function can also be preserved in the majority of patients.

Citations

Apr 15, 2003·Current Neurology and Neuroscience Reports·Anthony L D'Ambrosio, Jeffrey N Bruce
Jun 15, 2011·Neurosurgical Review·Matthieu PeyreMichel Kalamarides
Jul 3, 2007·Clinical Neurology and Neurosurgery·Arnaud DevèzeVincent Darrouzet
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Jun 28, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Naira MkrtchyanGhizlene Lahlou

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