Hearing recovery after surgical resection of non-vestibular schwannoma cerebellopontine angle tumors.
Cerebellopontine angle tumors
Hearing
Meningioma
Retrosigmoid approach
Schwannoma
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
19
02
2021
accepted:
23
06
2021
pubmed:
28
6
2021
medline:
9
4
2022
entrez:
27
6
2021
Statut:
ppublish
Résumé
Post-operative outcomes for hearing after resection surgery to remove cerebellopontine angle (CPA) tumors other than vestibular schwannomas (VS) are not well understood. This study presents a series of patients with significant post-operative hearing recovery, trying to define the incidence among all patients operated on for removal of non-VS CPA tumors. This is a retrospective observational case series of 8 patients among 69 operated on for removal of non-VS CPA tumors between 2012 and 2020. All patients had pre- and post-operative hearing measurement with pure-tone average (PTA) and speech discrimination score (SDS), according to the American Academy of Otolaryngology-Head and Neck Surgery recommendations, auditory brainstem response (ABR) measurements and imaging. Six meningiomas and two lower cranial nerve schwannomas operated on with a retrosigmoid approach were included for analysis. The mean pre-operative PTA and SDS were 58 ± 20.7 dB and 13 ± 17.5%, respectively. All patients had pre-operative class D hearing and asynchronous ABRs. They all showed significant hearing recovery, with an improvement of 36 ± 22.2 dB (p = 0.0025) and 85 ± 16.9% (p = 0.0001) in PTA and SDS, respectively, with mean follow-up of 21 ± 23.5 months. Seven patients recovered to a class A hearing level and one patient to class B. The ABRs became synchronous for three patients. The incidence of auditory recovery was 13% for patients operated on with a conservative approach (n = 60). A significant post-operative improvement in hearing could be a reasonable expectation in non-VS tumors extending into the CPA and a retrosigmoid approach should always be considered regardless of pre-operative hearing status.
Identifiants
pubmed: 34175969
doi: 10.1007/s00405-021-06956-6
pii: 10.1007/s00405-021-06956-6
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2373-2382Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Lin D, Hegarty JL, Fischbein NJ, Jackler RK (2005) The prevalence of “Incidental” acoustic neuroma. Arch Otolaryngol Head Neck Surg 131(3):241. https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/648807 . Accessed 7 Jan 2020
Brackmann DE, Bartels LJ (1980) Rare tumors of the cerebellopontine angle. Otolaryngol Head Neck Surg 88:555–559. https://doi.org/10.1177/019459988008800508
doi: 10.1177/019459988008800508
pubmed: 6969383
Moffat DA, Saunders JE, McElveen JT et al (1993) Unusual cerebello-pontine angle tumours. J Laryngol Otol 107:1087–1098. https://doi.org/10.1017/s0022215100125393
doi: 10.1017/s0022215100125393
pubmed: 8288995
Nakamura M, Roser F, Dormiani M et al (2005) Facial and cochlear nerve function after surgery of cerebellopontine angle meningiomas. Neurosurgery 57:77–90. https://doi.org/10.1227/01.neu.0000154699.29796.34 (discussion 77–90)
doi: 10.1227/01.neu.0000154699.29796.34
pubmed: 15987543
Miller ME, Mastrodimos B, Cueva RA (2012) Hearing preservation in management of epidermoids of the cerebellopontine angle: CPA epidermoids and hearing preservation. Otol Neurotol 33:1599–1603. https://doi.org/10.1097/MAO.0b013e31826bed8d
doi: 10.1097/MAO.0b013e31826bed8d
pubmed: 23032664
Batra PS, Dutra JC, Wiet RJ (2002) Auditory and facial nerve function following surgery for cerebellopontine angle meningiomas. Arch Otolaryngol Head Neck Surg 128:369–374. https://doi.org/10.1001/archotol.128.4.369
doi: 10.1001/archotol.128.4.369
pubmed: 11926909
Lanzino G, diPierro CG, Ruth RA et al (1997) Recovery of useful hearing after posterior fossa surgery: the role of otoacoustic emissions: case report. Neurosurgery 41:469–472. https://doi.org/10.1097/00006123-199708000-00029 (discussion 472-473)
doi: 10.1097/00006123-199708000-00029
pubmed: 9257316
Tator CH, Nedzelski JM (1985) Preservation of hearing in patients undergoing excision of acoustic neuromas and other cerebellopontine angle tumors. J Neurosurg 63:168–174. https://doi.org/10.3171/jns.1985.63.2.0168
doi: 10.3171/jns.1985.63.2.0168
pubmed: 3874935
Cohen NL, Lewis WS, Ransohoff J (1993) Hearing preservation in cerebellopontine angle tumor surgery: the NYU experience 1974–1991. Am J Otol 14:423–433. https://doi.org/10.1097/00129492-199309000-00002
doi: 10.1097/00129492-199309000-00002
pubmed: 8122702
Daoudi H, Lahlou G, Degos V et al (2020) Improving facial nerve outcome and hearing preservation by different degrees of vestibular schwannoma resection guided by intraoperative facial nerve electromyography. Acta Neurochir (Wien) 162:1983–1993. https://doi.org/10.1007/s00701-020-04397-4
doi: 10.1007/s00701-020-04397-4
Goebel JA, Vollmer DG (1993) Hearing improvement after conservative approach for large posterior fossa meningioma. Otolaryngol Head Neck Surg 109:1025–1029. https://doi.org/10.1177/019459989310900609
doi: 10.1177/019459989310900609
pubmed: 8265185
Maurer PK, Okawara SH (1988) Restoration of hearing after removal of cerebellopontine angle meningioma: diagnostic and therapeutic implications. Neurosurgery 22:573–575. https://doi.org/10.1227/00006123-198803000-00023
doi: 10.1227/00006123-198803000-00023
pubmed: 3258964
Vellutini EA, Cruz OL, Velasco OP et al (1991) Reversible hearing loss from cerebellopontine angle tumors. Neurosurgery 28:310–312. https://doi.org/10.1097/00006123-199102000-00024 (discussion 312–313)
doi: 10.1097/00006123-199102000-00024
pubmed: 1997904
Christiansen CB, Greisen O (1975) Reversible hearing loss in tumours of the cerebello-pontine angle. J Laryngol Otol 89:1161–1164. https://doi.org/10.1017/s0022215100081536
doi: 10.1017/s0022215100081536
pubmed: 1081563
Lewis ML, Echols DH (1951) Pearly tumor of the cerebellopontine angle, report of a case with reversible deafness. Laryngoscope 61:1123–1125. https://doi.org/10.1288/00005537-195111000-00006
doi: 10.1288/00005537-195111000-00006
pubmed: 14889886
von Elm E, Altman DG, Egger M et al. (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med 4. https://doi.org/10.1371/journal.pmed.0040296
House JW, Brackmann DE (1985) Facial nerve grading system. Otolaryngol Head Neck Surg 93:146–147. https://doi.org/10.1177/019459988509300202
doi: 10.1177/019459988509300202
pubmed: 3921901
(1995) Committee on hearing and equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma): Committee on Hearing and Equilibrium. Otolaryngol Head Neck Surg 113:179–180. https://doi.org/10.1016/S0194-5998(95)70101-X
Peyre M, Bozorg-Grayeli A, Rey A et al (2012) Posterior petrous bone meningiomas: surgical experience in 53 patients and literature review. Neurosurg Rev 35:53–66. https://doi.org/10.1007/s10143-011-0333-6 (discussion 66)
doi: 10.1007/s10143-011-0333-6
pubmed: 21670954
Monfared A, Corrales CE, Theodosopoulos PV et al (2016) Facial nerve outcome and tumor control rate as a function of degree of resection in treatment of large acoustic neuromas: preliminary report of the acoustic neuroma subtotal resection study (ANSRS). Neurosurgery 79:194–203. https://doi.org/10.1227/NEU.0000000000001162
doi: 10.1227/NEU.0000000000001162
pubmed: 26645964
(2020) Atlas of Skull Base Surgery and Neurotology. https://www.thieme.com/books-main/neurosurgery/product/787-atlas-of-skull-base-surgery-and-neurotology . Accessed 8 Jan 2020
Esquia-Medina GN, Grayeli AB, Ferrary E et al (2009) Do facial nerve displacement pattern and tumor adhesion influence the facial nerve outcome in vestibular schwannoma surgery? Otol Neurotol 30:392–397. https://doi.org/10.1097/MAO.0b013e3181967874
doi: 10.1097/MAO.0b013e3181967874
pubmed: 19318891
Remenschneider AK, Gaudin R, Kozin ED et al (2017) Is the cause of sensorineural hearing loss in patients with facial schwannomas multifactorial? Laryngoscope 127:1676–1682. https://doi.org/10.1002/lary.26327
doi: 10.1002/lary.26327
pubmed: 27701738
Mom T (2007) Otoacoustic emissions in clinical and surgical practice. Ann Otolaryngol Chir Cervicofac 124:80–89. https://doi.org/10.1016/j.aorl.2006.09.002
doi: 10.1016/j.aorl.2006.09.002
pubmed: 17336918
Huo Z, Chen J, Wang Z et al (2019) Prognostic factors of long-term hearing preservation in small and medium-sized vestibular schwannomas after microsurgery. Otol Neurotol 40:957–964. https://doi.org/10.1097/MAO.0000000000002284
doi: 10.1097/MAO.0000000000002284
pubmed: 31058754
Neely JG, Hough J (1986) Histologic findings in two very small intracanalicular solitary schwannomas of the eighth nerve. Ann Otol Rhinol Laryngol 95:460–465. https://doi.org/10.1177/000348948609500505
doi: 10.1177/000348948609500505
pubmed: 3767217
Jahanbakhshi A, Azar M, Kazemi F et al (2019) Gamma Knife stereotactic radiosurgery for cerebellopontine angle meningioma. Clin Neurol Neurosurg 187:105557. https://doi.org/10.1016/j.clineuro.2019.105557
doi: 10.1016/j.clineuro.2019.105557
pubmed: 31731053
Ruangkanchanasetr R, Lee JYK, Nagda SN et al (2018) Toxicity of gamma knife radiosurgery may be greater in patients with lower cranial nerve schwannomas. J Neurol Surg B Skull Base 79:580–585. https://doi.org/10.1055/s-0038-1651504
doi: 10.1055/s-0038-1651504
pubmed: 30456028
pmcid: 6239879
Plotkin SR, Stemmer-Rachamimov AO, Barker FG et al (2009) Hearing improvement after bevacizumab in patients with neurofibromatosis type 2. N Engl J Med 361:358–367. https://doi.org/10.1056/NEJMoa0902579
doi: 10.1056/NEJMoa0902579
pubmed: 19587327
pmcid: 4816642
Simon MV (2011) Neurophysiologic intraoperative monitoring of the vestibulocochlear nerve. J Clin Neurophysiol 28:566–581. https://doi.org/10.1097/WNP.0b013e31823da494
doi: 10.1097/WNP.0b013e31823da494
pubmed: 22146352