Long-term prognosis of preserved useful hearing after surgery in patients with vestibular schwannoma: a study of 91 cases
Long-term prognosis of preserved useful hearing after surgery in patients with vestibular schwannoma: a study of 91 cases
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前庭神经鞘瘤患者术后保留有用听力的长期预后：91例的研究
DOI：
10.1007/s00701-020-04523-2
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发表时间：
2020
影响因子：
2.4
通讯作者：
Nagata Osamu
中科院分区：
文献类型：
--
作者：
Ichimasu Norio;Kohno Michihiro;Nakajima Nobuyuki;Matsushima Ken;Tanaka Yujiro;Tsukahara Kiyoaki;Inagaki Taro;Yoshino Masanori;Nagata Osamu
研究背景对于前庭神经鞘瘤患者，一些研究报道手术后最初保留的有用听力在长期内逐渐恶化。需要更多的患者的研究，以澄清术后听力功能的维护率，并确定预后的听力functions.Methodnetal1例（平均年龄，39.5岁，平均肿瘤大小，18.9毫米）保留有用的听力手术后立即进行了回顾性分析。有用听力被定义为美国耳鼻咽喉头颈外科学会（AAO-HNS）A和B级。听力测试，包括听觉脑干反应（ABR）和畸变产物耳声发射（DPOAE），术前进行了评价，手术后立即，并在门诊follow-up.ResultsAt最后的后续行动（平均63.0个月），有用的听力保持在79例（87%），和听力类在随访期间保持不变，在40例（44%）。有效听力维持的重要预测因素是术后即刻AAO-HNS A级、ABR改善和术后DPOAE无恶化。术后DPOAE恶化与听力类defermination.ConclusionsDespite听力保存在前庭神经鞘瘤患者术后立即，百分之十三失去了有用的听力在长期的随访期间，和听力类恶化的55%的患者。这项研究分析了最大的前庭神经鞘瘤患者系列之一，证明耳蜗后条件是有用的听力维护的关键因素。对于保留听力功能的前庭神经鞘瘤患者，术后定期监测听力功能与定期进行MRI检查同样重要。
BackgroundIn patients with a vestibular schwannoma, some studies have reported that useful hearing preserved initially after surgery deteriorates gradually in the long term. Studies with more patients are needed to clarify the maintenance rate of postoperative hearing function and to identify prognostic of hearing function.MethodNinety-one patients (mean age, 39.5 years; mean tumor size, 18.9 mm) with preserved useful hearing immediately after surgery were retrospectively analyzed. The useful hearing was defined as the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) classes A and B. Hearing tests, including auditory brainstem responses (ABR) and distortion product otoacoustic emissions (DPOAE), were evaluated preoperatively, immediately after surgery, and at outpatient follow-up.ResultsAt the final follow-up (mean, 63.0 months), the useful hearing was maintained in 79 patients (87%), and the hearing class remained unchanged during the follow-up period in 40 patients (44%). Significant predictors of useful hearing maintenance were AAO-HNS class A immediately after surgery, improvement of ABR, and the absence of postoperative DPOAE deterioration. Postoperative DPOAE deterioration correlated with hearing class deterioration.ConclusionsDespite hearing being preserved in vestibular schwannoma patients immediately after surgery, Thirteen percent lost their useful hearing during the long follow-up period, and hearing class worsened in 55% of the patients. This study, which analyzed one of the largest series of vestibular schwannoma patients, demonstrated that retrocochlear condition is a key factor for useful hearing maintenance. In patients with vestibular schwannoma who have preserved hearing function, regular postoperative monitoring of hearing function is as important as regular MRI.
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伽玛刀手术治疗前庭神经鞘瘤患者的听力保留。
影响因子：
4.1
作者：
A. Baschnagel;Peter Y. Chen;D. Bojrab;D. Pieper;J. Kartush;O. Didyuk;I. Naumann;A. Maitz;I. Grills
通讯作者：
I. Grills
手术切除听肿瘤并保留听力后，患者的长期听力结果。
DOI：
--
发表时间：
1992
期刊：
The American journal of otology
影响因子：
--
作者：
M. McKenna;C. Halpin;R. Ojemann;J. Nadol;W. Montgomery;R. Levine;E. Carlisle;R. Martuza
通讯作者：
R. Martuza
影响因子：
2.6
作者：
ATLAS, MD;HARVEY, C;FAGAN, PA
通讯作者：
FAGAN, PA
伽玛刀治疗前庭神经鞘瘤患者保留可用听力后听力保留的相关因素。
影响因子：
4.1
作者：
T. Hasegawa;Y. Kida;Takenori Kato;H. Iizuka;Takashi Yamamoto
通讯作者：
Takashi Yamamoto
影响因子：
4.1
作者：
Watanabe, Shinya;Yamamoto, Masaaki;Kasuya, Hidetoshi
通讯作者：
Kasuya, Hidetoshi