Inoue Y, Ogawa K, Kanzaki J
Department of Otolaryngology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, 160 Tokyo, Japan.
Eur Arch Otorhinolaryngol. 2003 Oct;260(9):487-9. doi: 10.1007/s00405-003-0583-1. Epub 2003 May 8.
We herein report on the hearing improvement obtained after tumor removal in a vestibular schwannoma patient with preoperative severe hearing loss and good otoacoustic emission. Hearing recovery after tumor removal is an uncommon occurrence. As a result, hearing preservation surgery is usually not performed for patients with severe hearing loss. However, patients with a good OAE seem to have a better chance to recover their hearing than those with a poor OAE, even if they have severe hearing loss. As a result, the cochlear function should be evaluated, especially regarding the OAE, before determining the indications for hearing preservation surgery.
我们在此报告一例术前严重听力损失但耳声发射良好的前庭神经鞘瘤患者在肿瘤切除后听力得到改善的情况。肿瘤切除后听力恢复并不常见。因此,对于严重听力损失的患者通常不进行听力保留手术。然而,即使耳声发射严重受损,耳声发射良好的患者似乎比耳声发射差的患者有更好的听力恢复机会。因此,在确定听力保留手术的适应症之前,应评估耳蜗功能,特别是关于耳声发射。