Case Reports

Restoring Hearing After Resection of Vestibular Schwannoma by Cochlear Nerve Preservation and Cochlear Implantation: Long-Term Follow-Up of Two Cases

Volume 20 · Issue 1 Publish Date: October 30, 2023
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Laura Jacxsens ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Marc J W Lammers ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Laure Jacquemin ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Griet Mertens ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Antwerp, Belgium
Okan Öz ORCID
The Eargroup, Antwerp, Belgium
Olivier M Vanderveken ORCID
Department of Otorhinolaryngology, Head and Neck surgery, Antwerp University Hospital, Edegem, Belgium
Paul J Govaerts ORCID
Department of Translational Neurosciences, University of Antwerp Faculty of Medicine and Health Science, Antwerp, Belgium
Tomas Menovsky ORCID
Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
Vincent Van Rompaey ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Antwerp, Belgium; University of Antwerp, Faculty of Medicine and Health Sciences, Belgium
Jacxsens, L., Lammers, M. J. W., Jacquemin, L., Mertens, G., Öz, O., Vanderveken, O. M., … Rompaey, V. V. (2023). Restoring Hearing After Resection of Vestibular Schwannoma by Cochlear Nerve Preservation and Cochlear Implantation: Long-Term Follow-Up of Two Cases. B-ENT, 20(1), 53–57. https://doi.org/10.5152/B-ENT.2023.231293
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Abstract

Hearing outcomes of two cases of growing sporadic vestibular schwannoma, resected via a translabyrinthine approach with simultaneous cochlear implantation are reported. After gross total resection and anatomical preservation of the facial and cochlear nerve, the integrity of the cochlear nerve—on an electrophysiological level—was evaluated using the intracochlear test electrode of the Auditory Nerve Test System. After confirming electrically-evoked auditory brainstem recordings, cochlear implantation and hearing rehabilitation were performed as per the single-sided deafness protocol. This report describes the audiological outcome with respect to speech understanding in quiet and noise, local ization of sounds as well as phoneme discrimination up to one year after surgery.

 

Cite this article as: Jacxsens L, Lammers MJW, Jacquemin L, et al. Restoring hearing after resection of vestibular schwannoma by cochlear nerve preservation and cochlear implantation: long-term follow-up of two cases. B-ENT. 2024;20(1):53-57

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Article Info
Published In
Journal B-ENT
Volume / Issue Volume 20 · Issue 1
Pages 53-57
History
Published Online October 30, 2023
Affiliations
Laura Jacxsens ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Marc J W Lammers ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Laure Jacquemin ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Belgium
Griet Mertens ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Antwerp, Belgium
Okan Öz ORCID
The Eargroup, Antwerp, Belgium
Olivier M Vanderveken ORCID
Department of Otorhinolaryngology, Head and Neck surgery, Antwerp University Hospital, Edegem, Belgium
Paul J Govaerts ORCID
Department of Translational Neurosciences, University of Antwerp Faculty of Medicine and Health Science, Antwerp, Belgium
Tomas Menovsky ORCID
Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
Vincent Van Rompaey ORCID
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, Edegem, Antwerp, Belgium; University of Antwerp, Faculty of Medicine and Health Sciences, Belgium
Cite this Article
Jacxsens, L., Lammers, M. J. W., Jacquemin, L., Mertens, G., Öz, O., Vanderveken, O. M., … Rompaey, V. V. (2023). Restoring Hearing After Resection of Vestibular Schwannoma by Cochlear Nerve Preservation and Cochlear Implantation: Long-Term Follow-Up of Two Cases. B-ENT, 20(1), 53–57. https://doi.org/10.5152/B-ENT.2023.231293
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