Hearing preservation and facial nerve function following vestibular schwannoma surgery
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2013, Vol 2, Issue 4
Abstract
Aim: To compare hearing preservation possibilities and facial nerve outcomes between middle fossa (MF) and translabyrinthine (TL) approach in patients undergoing vestibular schwannoma surgery. Material and methods: Retrospective analysis of medical records of 104 patients treated otosurgically due to vestibular schwannoma. All patients underwent surgery using one of the two approaches: 41 MF and 63 TL. The risks of deterioration of the facial nerve function as well as hearing were evaluated. Results: Statistical signifi- cance was found between the two surgical groups in hearing results, and no significance in facial nerve outcomes. In addition analysis revealed that facial nerve outcomes correlated with the size of the tumor. Conclusions: Middle fossa approach offers possibility to resect vestibular schwannomas with hearing preservation. In case of translabyrinthine approach the hearing becomes permanently damaged due to the surgical technique. The risk of deterioration of facial nerve function correlates wth the size of the tumor (larger the tumor bigger the risk), however, there is no correlation when it comes to surgical approach (Mf or TL).
Authors and Affiliations
Małgorzata Staciwa, Magdalena Lachowska, Piotr Chęciński, Kazimierz Niemczyk
Keywords
Related Articles
- EP ID EP51176
- DOI -
- Views 196
- Downloads 0
Nerwiak osłonkowy dna jamy ustnej – opis przypadku i przegląd literatury
Schwannoma is a benign neoplasm derived from Shwann cells of the peripheral nerves. The tumor usually occurs in conjunction with cranial nerves in head and neck region. It is characterized by long term growth and symptom...
Historia Otologii – od starożytności od końca XIX wieku
Otology is a part of otolaryngology dedicated to anatomy, physiology, diagnosis and treatment of the ear's diseases. Routes of otology go back to ancient Egypt, Greece and Rome. The fastest developing studies of the ear...
Instrumental evaluation of dysphagia after oropharyngeal cancer surgery with free flap reconstruction
Introduction: Assessment of usefulness of instrumental method of evaluation of dysphagia in creating a therapeutic plan among patients after oropharyngeal cancer surgery with free flap reconstruction. Material and Method...
Laryngeal cancer – epidemiology and etiology
Cancer of the larynx is, after lung cancer, the second mos t common maligna nt tumor of the respiratory tract. In Poland it is in the ninth place on the list of the most common cancers occurring among men. Accordi ng to...
Quiz