Laryngorhinootologie 2017; 96(12): 836-843
DOI: 10.1055/s-0043-119546
Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Hörrehabilitation durch Cochlea-Implantation nach Vestibularisschwannom-Entfernung?

Hearing rehabilitation with the cochlea implant following translabyrinthine CPA tumor removal ?
Jörg Schipper
,
Julia Kristin
,
Simone Volpert
,
Thomas Klenzner
Weitere Informationen

Publikationsverlauf

08/22/2016

09/08/2017

Publikationsdatum:
04. Oktober 2017 (online)

Zusammenfassung

Ausgewertet wurden in einer Qualitätssicherungsanalyse 10 Patienten mit einem individuellen Behandlungsversuch nach einer simultanen oder konsekutiven Cochlea-Implantation nach translabyrinthärer Vestibularisschwannomentfernung im Kleinhirnbrückenwinkel. Die Ergebnisse zeigen, dass die Mehrzahl der Patienten mit einseitiger Ertaubung durch die stereophone Hörrehabilitation profitiert. Durch eine schonende chirurgische Präparationstechnik im Bereich des inneren Gehörgangs kann die morphologisch-funktionelle Integrität der neurovaskulären Strukturen gewährleistet werden.

Abstract

We present a quality analysis of 10 patients with an individual treatment trial for a simultaneous or consecutive cochlea implantation after translabyrinthine removal of a neurinoma at the cerebellopontine angle. The results show that most of the patients benefit from the cochlea implantation after unilateral deafness. Through a careful surgical preparation technique at the inner ear canal and its surroundings the morphological and functional integrity of the neurovascular structures can be guaranteed.

 
  • Literatur

  • 1 Ahsan S, Telischi F, Hodges A. et al. Cochlear implantation concurrent with translabyrinthine acoustic neuroma resection. Laryngoscope 2003; 113: 472-4
  • 2 Schutt CA, Kveton JF. Cochlear implantation after resection of an intralabyrinthine schwannoma. Am J Otolaryngol 2014; 35 (02) 257-60
  • 3 Arndt S, Laszig R, Aschendorff A. et al. Unilateral deafness and cochlear implantation: audiological diagnostic evaluation and outcomes. HNO 2011; 59: 437-46
  • 4 Arndt S, Aschendorff A, Laszig R. et al. Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol 2011; 32: 39-47
  • 5 Beutner C, Mathys C, Turowski B. et al. Cochlear obliteration after translabyrinthine vestibular schwannoma surgery. Eur Arch Otorhinolaryngol 2015; 272: 829-33
  • 6 Stangerup SE, Tos M, Thomsen J. et al. Hearing outcomes of vestibular schwannoma patients managed with „wait and scan“: predictive value of hearing level at diagnosis. J Laryngol Otol 2010; 124: 490-4
  • 7 Koos WT, Day JD, Matula C. et al. Neurotopographic considerations in the microsurgical treatment of small acoustic neurinomas. J Neurosurg 1998; 88: 506-12
  • 8 Thomsen J, Tos M, Møller H. et al. The choice of approach in surgery for acoustic neuromas (vestibular schwannomas). Tokai J Exp Clin Med 1994; 19 (03) 6 93-101
  • 9 Springborg JB, Fugleholm K, Poulsgaard L. et al. Outcome after Translabyrinthine Surgery for Vestibular Schwannomas: Report on 1244 Patients. J Neurol Surg B 2012; 73 (03) 168-174
  • 10 House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg 1985; 93: 146-7
  • 11 Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): the facial nerve—preservation and restitution of function. Neurosurgery 1997; 40 (04) 684-694
  • 12 Alfieri A, Fleischhammer J, Strauss C. et al. The central myelin-peripheral myelin transitional zone of the nervus intermedius and its implications for microsurgery in the cerebellopontine angle. Clin Anat 2012; 25 (07) 882-8
  • 13 Dunn IF, Bi WL, Erkmen K. et al. Medial acoustic neuromas: clinical and surgical implications. J Neurosurg 2014; 120: 1095-1104
  • 14 Xu J, Xu SA, Cohen LT. et al. Cochlear view: postoperative radiography for cochlear implantation. Am J Otol 2000; 21 (01) 49-56
  • 15 Wagner F, Wimmer W, Leidolt L. et al. Removable Magnet: An experimental human cadaver study. PloS One 2015; 10 (07) e0132483
  • 16 Dubrulle F, Sufana IA, Vincent C. et al. Cochlear implant with a non-removable magnet: preliminary research at 3-T MRI. Eur Radiol 2013; 23 (06) 1510-8
  • 17 Todt I, Rademacher G, Mittmann P. et al. MRI Artifacts and Cochlear Implant Positioning at 3 T In Vivo. Otol Neurotol 2015; Jul 36 (06) 972-6
  • 18 Belal A. Is cochlear implantation possible after acoustic tumor removal?. Otol Neurotol 2001; 22 (04) 497-500
  • 19 Carlson ML, Breen JT, Driscoll CL. et al. Cochlear implantation in patients with neurofibromatosis type 2: variables affecting auditory performance. Otol Neurotol 2011; 33 (05) 853-862
  • 20 Nölle C, Todt I, Basta D. et al. Cochlear Implantation after acoustic tumour resection in neurofibromatosis type 2: impact of intra- and postoperative neural response telemetry monitoring. ORL J Otorhinolaryngol Relat Spec 2003; 65 (04) 230-4
  • 21 Bonne N, Aboukais R, Baroncini M. et al. Pediatric neurofibromatosis type 2: clinical and molecular presentation, management of vestibular schwannomas, and hearing rehabilitation. Childs Nerv Syst. 2016 Oct 4
  • 22 Thakur JD, Banerjee AD, Khan CIS. et al. An update on unilateral sporadic small vesitibular schwannoma. Neurosurg Focus 2012; 33 (03) E1
  • 23 Sato H, Kawagishi K. Labyrinthine artery detection in patients with idiopathic sudden sensorineural hearing loss by 7-T MRI. Otolaryngol Head Neck Surg 2014; 150 (03) 455-9
  • 24 Lambert P, Ruth RA, Thomas JF. Promontory electrical estimulation in postoperative acoustic tumor patients. Laryngoscope 1992; 102: 814-819
  • 25 Kuo SC, Gibson WP. The role of the promontory stimulation test in cochlear. Cochlear Implants Int 2002; 3 (01) 19-28
  • 26 Ramsden RT, Timms MS. Promontory stimulation after labyrinthectomy. J Laryngol Otol 1991; 105: 729-731
  • 27 Waring MD. Auditory brain-stem responses evoked by electrical stimulation of the cochlear nucleus in human subjects. Electroencephalogr Clin Neurophysiol 1995; 96 (04) 338-47
  • 28 Brown CD, Antognelli T, Gibson WP. Auditory brain stem response evoked by electrical stimulation with a cochlear implant. Adv Otorhinolaryngol 1993; 48: 125-9
  • 29 Leake PA, Hradek GT, Snyder RL. Chronic electrical stimulation by a cochlear implant promotes survival of spiral ganglion neurons after neonatal deafness. J Comp Neurol 1999; 412 (04) 543-562