Loukine Bézé Margaux, Puechmaille Mathilde, Trillat Chloé, Barrat Antoine, Bécaud Justine, Saroul Nicolas, Khalil Toufic, Coll Guillaume, Mom Thierry
Department of Otolaryngology Head Neck Surgery, University Hospital Center, Hospital Gabriel Montpied, 58 rue Montalembert, 63000 Clermont-Ferrand, France.
Mixt Unit of Research (UMR) 1107, National Institute of Health and Medical Research (INSERM), University of Clermont Auvergne (UCA), 63000 Clermont-Ferrand, France.
J Clin Med. 2024 Oct 8;13(19):5967. doi: 10.3390/jcm13195967.
: Surgical resection of vestibular schwannomas (VS) can be responsible for single-sided deafness (SSD). Hearing restoration can be a challenge both for the otolaryngologist and the patient. : In a retrospective series, we analyzed the charts of SSD patients operated on for VS from 2005-2021, checking which type of hearing rehabilitation was chosen. All patients who wanted a hearing restoration underwent a hearing in noise test (HINT) in a stereo auditorium with and without a bone-anchored hearing device (BAHD) worn with a headband on the deaf side. Then, they had a preimplantation one-month trial with the BAHD at home vs. contralateral routing of signal (CROS) or BiCROS (with contralateral signal amplification) hearing aids (HAs). : Among 52 charts of the included adult SSD patients, only 29 (56%) eventually chose a hearing rehabilitation device (14 BAHD). Only one BAHD patient required a device explantation for skin complications, but then asked for reimplantation. Another one swapped the BAHD for HAs 2.5 years after. Two patients only occasionally used their BAHD with a headband. Nine patients preferred HAs, mainly BiCROS. Their contralateral hearing was significantly less than BAHD patients ( < 0.05), and only three used their HAs every day. : Hearing rehabilitation in SSD patients after VS surgical resection is chosen in about 50% of cases. In complement of HINT, a real-life comparative hearing trial helps patients chose the best device, with good long-term results when a BAHD is chosen. HAs are preferred when contralateral hearing is altered but are not always worn.
前庭神经鞘瘤（VS）的手术切除可能导致单侧耳聋（SSD）。听力恢复对耳鼻喉科医生和患者来说都是一项挑战。在一项回顾性研究中，我们分析了2005年至2021年因VS接受手术的SSD患者的病历，检查选择了哪种类型的听力康复方法。所有希望恢复听力的患者在配备和不配备聋侧头戴式骨锚式听力装置（BAHD）的立体声礼堂中进行了噪声环境下听力测试（HINT）。然后，他们在家中进行了为期一个月的BAHD植入前试验，与对侧信号路由（CROS）或双耳对侧信号放大（BiCROS）助听器（HA）进行对比。在纳入的52例成年SSD患者病历中，只有29例（56%）最终选择了听力康复装置（14例选择BAHD）。只有一名BAHD患者因皮肤并发症需要取出装置，但随后又要求重新植入。另一名患者在2.5年后将BAHD换成了HA。两名患者只是偶尔使用头戴式BAHD。九名患者更喜欢HA，主要是BiCROS。他们的对侧听力明显低于BAHD患者（<0.05），只有三名患者每天使用HA。VS手术切除后SSD患者的听力康复在约50%的病例中被选择。作为HINT的补充，实际的比较听力试验有助于患者选择最佳装置，选择BAHD时长期效果良好。当对侧听力改变时，HA更受青睐，但并非总是佩戴。
