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J Laryngol Otol ; 137(6): 637-642, 2023 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36117333

RESUMEN

OBJECTIVE: There are currently no guidelines for simultaneous vestibular schwannoma surgery and cochlear implantation. This paper therefore provides our experience and our results regarding predictive parameters of good hearing. METHODS: Morphological appearance of the cochlear nerve after tumour resection was used as the main criterion for implantation in the case series. Patients were then divided into responders and non-responders to cochlear implantation, and potential outcome predicting factors were evaluated in the two groups. RESULTS: Nine of the 16 patients showed a response to cochlear implantation. Pre-surgery serviceable hearing was significantly more common in the responder group, while no difference was found in the two groups for other variables. CONCLUSION: This study highlights how the morphological appearance of the cochlear nerve can be useful to predict the hearing outcome and indicates that satisfactory hearing results are closely related to pre-surgery serviceable hearing.


Asunto(s)
Implantación Coclear , Pérdida Auditiva Sensorineural , Neuroma Acústico , Humanos , Neuroma Acústico/cirugía , Neuroma Acústico/patología , Implantación Coclear/métodos , Estudios Retrospectivos , Pérdida Auditiva Sensorineural/cirugía , Nervio Coclear/patología
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