ArticleLaryngoscope investigative otolaryngology2025
Simultaneous Translabyrinthine Vestibular Schwannoma Removal and Cochlear Implantation: Assessment of Wireless Connection Speech Test.
Article in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Simultaneous Translabyrinthine Vestibular Schwannoma Removal and Cochlear Implantation: Assessment of Wireless Connection Speech Test.Laryngoscope investigative otolaryngology · 2025Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective: Simultaneous vestibular schwannoma (VS) removal via the translabyrinthine approach (TLA) and cochlear implantation (CI) allows for overlapping surgical fields, improving postoperative hearing outcomes, and minimizing complications associated with multiple surgical interventions. However, the effectiveness of this surgical approach remains a topic of debate. To address this, we aim to evaluate surgical outcomes using an objective wireless connection speech test to ensure accurate auditory performance. Methods: We describe six patients with simultaneous TLA and CI surgery from 2020 to 2024. All patients presented with single-sided deafness or asymmetric hearing loss due to vestibular schwannomas classified as Koos grade I or II, confined to the internal auditory canal. Preoperative and postoperative hearing outcomes were assessed through pure-tone audiometry thresholds, word recognition scores, Visual Analog Scale (VAS), and Abbreviated Profile of Hearing Aid Benefit survey (APHAB). Magnetic resonance imaging (MRI) confirmed that tumors were either completely or nearly completely excised. Postoperative hearing outcomes were also evaluated through Sound Field (unplugging) tests, occlusion plugging tests, and the iPad speech test-a wireless transmission of recorded sound directly to the CI's speech processor. Results: The pure-tone audiometry thresholds and word recognition scores improved from preoperative to postoperative assessments ( Conclusion: Simultaneous TLA and CI emerges as an effective procedure for restoring hearing in patients with small vestibular schwannomas, allowing the recovery of binaural hearing. Level of Evidence: 4.
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