Advancements in hearing preservation and restoration in vestibular schwannoma surgery
10.3781/j.issn.1000-7431.2024.2401-0019
- VernacularTitle:前庭神经鞘膜瘤手术听觉保留与重建的研究进展
- Author:
Yaoxuan WANG
1
;
Yongchuan CHAI
1
;
Zhaoyan WANG
1
Author Information
1. 上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科,上海 200011;上海交通大学医学院耳科学研究所,上海 200092;上海市耳鼻疾病转化医学重点实验室,上海 200092
- Publication Type:Journal Article
- Keywords:
Vestibular schwannoma;
Acoustic neuroma;
Neurofibromatosis type 2;
Hearing preservation;
Hearing restoration
- From:
Tumor
2024;44(9):944-952
- CountryChina
- Language:Chinese
-
Abstract:
Vestibular schwannomas(VS)is a benign tumor originating from Schwann cells in the vestibular nerve sheath of the internal auditory canal,often causing symptoms such as hearing loss and tinnitus in patients.With the significant increase in early detection rate of tumors,treatment goals are shifting towards preserving and rebuilding neurological function,improving patients'quality of life,and individualized treatment strategies.For those with functional hearing,hearing preservation surgery(HPS)is preferred.For patients who failed to do HPS or have no functional hearing before surgery,auditory restoration can be performed simultaneously or later.In terms of restoration approaches,for individuals whose cochlear nerve can be preserved,cochlear implant(CI)may be a viable option.CI not only provides good auditory perception but also effectively suppresses tinnitus.When the cochlear nerve cannot be preserved,BoneBridge implantation are considered.Although BoneBridge implantation cannot completely restore normal auditory function,it significantly improves speech recognition and quality of life.For patients with bilateral acoustic neuromas(as seen in neurofibromatosis type 2),although the effect of artificial auditory brainstem implantation(ABI)on auditory reconstruction varies greatly,it can help most patients regain auditory perception and improve communication skills,which is of great significance.Further research is needed in the future to investigate the influencing factors of auditory preservation and reconstruction effects,in order to maximize the hearing recovery and quality of life improvement for each patient.
