Hearing preservation in vestibular schwannoma surgery

  • Welling D
  • Daniels R
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Hearing preservation has received increased emphasis as a goal of vestibular schwannoma surgery. Clearly, preservation of brainstem and facial nerve function take priority, but in the past year, the literature is replete with surgical reports detailing efforts at hearing preservation as well. Among these, reports have focused on hearing preservation attempts with large tumors, bilateral tumors, and tumors with normal preoperative hearing. Various surgical and monitoring techniques have been proposed to aid in hearing preservation. Nearly all authors espouse early detection for improved surgical outcome. When hearing salvage is not accomplished at the time of tumor removal, restoration through cochlear and brainstem implants are reported. Alternatives to surgical management, including expectant management and radiotherapy reports, have also included hearing preservation results. In this chapter some of the most pertinent literature on hearing preservation in vestibular schwannoma surgery for the past year is summarized. © 1999 Lippincott Williams & Wilkins, Inc

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  • D. B. Welling

  • R. L. Daniels

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