Hearing preservation in vestibular schwannoma management

American Journal of Otolaryngology
Anna ElliottM L Bance

Abstract

To compare hearing preservation between stereotactic radiotherapy (SRT) and conservative treatment of patients with unilateral vestibular schwannoma. Retrospective case series comparing hearing outcomes of patients with a unilateral vestibular schwannoma managed conservatively or with stereotactic radiotherapy in a tertiary care academic centre. Tumor database patients with American Academy of Otolaryngology Head and Neck Surgery Class A or B hearing at the onset of study. Stereotactic radiotherapy patients were predominantly those who failed conservative management. Audiometric pure tone averages and speech discrimination scores as well as patient demographics, tumor location, size and growth were extracted. Hearing outcome measures were: 1) Hearing Preservation, i.e. no drop from Class A/B to Class C/D hearing, 2) Hearing Survival of Class A/B hearing in months, 3) Audiometric Pure Tone Averages, Difference between post-treatment and pre-treatment, and 4) Speech Discrimination Score Difference (pre-treatment-post treatment). Survival analysis and non-parametric tests were used for hearing outcome measures, with multiple covariates tested. Overall, serviceable hearing preservation among the 123 patients was 51%. The median hea...Continue Reading

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Citations

Jul 24, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jacob B HunterMatthew L Carlson
Jan 10, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Thomas Daniel MilnerJohn A Crowther
Jan 18, 2018·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Adam R CoughlinSamuel P Gubbels
Jan 29, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neil S PatelMatthew L Carlson
Aug 18, 2018·AORN Journal·Kristen A Oster
Sep 5, 2018·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·M Elise GrahamManohar Bance
Sep 26, 2017·Journal of Neurosurgical Sciences·Luciano MastronardiEttore DI Scipio
Feb 9, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Marina Neves CavadaNirmal P Patel

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