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Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants

English version

Therapie und Hörrehabilitation intralabyrinthärer Schwannome mittels Cochlear Implant

Englische Version

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Abstract

Background

To date, the therapy of intralabyrinthine schwannoma consists mainly of a wait-and-see approach, completely ignoring auditory rehabilitation. Only a few single-case reports are as yet available on treatment with cochlear implants (CI).

Aim of the study

This study aimed to assess the results of auditory rehabilitation after treatment with CI in a series of cases.

Materials and methods

The demographic findings, symptoms, and results of surgical therapy in 8 patients were evaluated in a retrospective analysis.

Results

Prior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3 patients. Among the patients, 4 had an intracochlear and 3 an intravestibular schwannoma, and a transmodiolar schwannoma was found in 1 patient. A total of 6 patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.

Conclusion

CI treatment following resection of an intralabyrinthine schwannoma is a promising option for auditory rehabilitation, even in single-sided deafness. This is a new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.

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Authors and Affiliations

  1. Implant Centrum Freiburg, Universitätsklinik für Hals-, Nasen- und Ohrenheilkunde und Poliklinik, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Germany

    A. Aschendorff, S. Arndt, R. Laszig, T. Wesarg, F. Hassepaß & R. Beck

Authors
  1. A. Aschendorff
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  2. S. Arndt
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  3. R. Laszig
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  4. T. Wesarg
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  5. F. Hassepaß
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  6. R. Beck
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Corresponding author

Correspondence to A. Aschendorff.

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Conflict of interest

A. Aschendorff, S. Arndt, R. Laszig, T. Wesarg, F. Hassepaß and R. Beck state that they receive support for research projects from all CI manufacturers.

This article does not contain any studies with human participants or animals performed by any of the authors.

The supplement containing this article is not sponsored by industry.

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Redaktion

W. Baumgartner, Wien

P. K. Plinkert, Heidelberg

M. Ptok, Hannover

C. Sittel, Stuttgart

N. Stasche, Kaiserslautern

B. Wollenberg, Lübeck

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Aschendorff, A., Arndt, S., Laszig, R. et al. Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants. HNO 65 (Suppl 1), 46–51 (2017). https://doi.org/10.1007/s00106-016-0217-8

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  • DOI: https://doi.org/10.1007/s00106-016-0217-8

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