Abstract：
BACKGROUND:Vestibular schwannoma (VS) is a benign tumor that develops in the internal auditory canal and the cerebellopontine angle, potentially diminishing hearing or balance. Most VS tumors arise from one of two vestibular branches: the superior or inferior vestibular nerve. Determining the specific nerve of origin could improve patient management in terms of preoperative counseling, treatment selection, and surgical decision-making and planning. The aim of this study was to introduce a novel scoring system that was designed to determine the nerve of origin. METHODS:The nerve of origin was predicted based on video head impulse assessments of all semicircular channels, together with cervical/ocular vestibular-evoked myogenic potential tests. The acquired data were entered into a scoring system developed to allocate the tumor origin. Finally, the nerve of origin was definitively determined intraoperatively. RESULTS:The novel scoring system was applied to 5 consecutive patients undergoing surgical VS treatment. In one case, no determination was possible. In all other cases, the preoperatively predicted tumor origin was the same as the origin determined during surgery. CONCLUSION:The scoring system predicts the nerve of origin and will be evaluated in a larger prospective cohort study of VS patients in the near future.
journal_name
HNOjournal_title
HNOauthors
Rahne T,Plößl S,Plontke SK,Strauss Cdoi
10.1007/s00106-017-0415-zsubject
Has Abstractpub_date
2017-12-01 00:00:00pages
966-972issue
12eissn
0017-6192issn
1433-0458pii
10.1007/s00106-017-0415-zjournal_volume
65pub_type
杂志文章相关文献
HNO文献大全abstract：:Concluding from audiometrical practice using hearing aids unilaterally we could find an inactivity of the unused contralateral ear. We have investigated if it is possible to measure this inactivity by common psychoacoustic methods. We tested 92 persons with advanced combined hearing loss. We had to state that the inac...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：:Wullstein, the founder of modern microscopic ear surgery, already used an oto-endoscope intraoperatively. However, it is only after the recent development of modern video-endoscopy with high-definition, 4K, and 3‑dimensional imaging that endoscopically guided surgery of the middle ear is gaining some importance. Key v...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-016-0268-x
更新日期：2017-01-01 00:00:00
abstract：:We report the case of a 56-year-old female patient with a giant tumor on the left side of the neck, which appeared to be localised outside the large salivary glands. Due to the extensive vascularisation seen on MRI, digital subtraction angiography was performed. To reduce intraoperative bleeding, the vasculature was e...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-009-1954-8
更新日期：2010-02-01 00:00:00
abstract：:The occurrence, morphology, and ultrastructural changes in intercellular desmosomes in squamous cell carcinoma of the larynx was examined by electron miscroscopy. The number of desmosomes in laryngeal carcinomas was decreased as compared to normal epithelia. Structural alterations in the desmosomal components were als...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1980-06-01 00:00:00
abstract：:Classical prognostic factors for squamous cell carcinoma of the head and neck (HNSCC) are based on general parameters such as tumor stage or histological grading and only allow for a rough estimation of the clinical course. However, predicting individual responses to treatment remains challenging and diverging clinica...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-010-2108-8
更新日期：2010-07-01 00:00:00
abstract：:Nowadays the cochlear implant (CI) offers a new method of hearing, especially for deaf patients who do not benefit from conventional hearing aids. However, it may be difficult to get used to this kind of hearing advice. CI users have special problems in interpreting strange acoustic sensations and relating them to aud...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1989-06-01 00:00:00
abstract：:Superior semicircular canal dehiscence syndrome is a clinical picture with sound and pressure-induced vertigo, autophony, hearing loss and a lowered bone conduction threshold. It is an important differential diagnosis to otosclerosis and patent eustachian tube. Diagnostic investigations include audiometric testing, ny...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-010-2163-1
更新日期：2010-10-01 00:00:00
abstract：:Laryngomalacia, a rarely mentioned clinical entity in the German literature, is reviewed in this article. The clinical picture, diagnostics and pathogenesis are presented. The prognosis is favorable. Usually the inspiratory stridor disappears after the second year of life in most of the children. However, 7-22% of tho...
journal_title：HNO
pub_type： 临床试验,杂志文章
doi：10.1007/s00106-004-1055-7
更新日期：2004-04-01 00:00:00
abstract：:In order to compare long-term-results of revision sinus surgery with the results of primary sinus surgery, the charts of 226 patients were reviewed 17-72 months (mean 42.3 months) after endonasal microsurgical ethmoidectomy or sphenoethmoidectomy, respectively (primary operation, n = 135; revision operation, n = 91). ...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1996-08-01 00:00:00
abstract：:We treated 64 patients with the diagnosis of laryngitis gastrica with Antra (Omeprazol) in doses of 10, 20, and 40 mg. To determine the success of the therapy, pH monitoring of the esophagus and hypopharynx, the voice status and measurement of vocal penetrating capacity were used. The results prove that a 20-mg dose o...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050609
更新日期：2000-07-01 00:00:00
abstract：:The hazards of infection by bacterial airborne dispersal secondary to drilling bone in the surgical treatment of infection of the air spaces of the skull were assessed experimentally. This included estimation of the furthest distance that the cooling fluid, using coloured water, and the bone chips of a dry petrous tem...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1976-04-01 00:00:00
abstract：:A 50-year-old male patient demonstrated an existing left proptosis for several weeks. The patient was suffering from physical exhaustion and had lost considerable weight. Furthermore, we observed greatly enlarged parotid and submandibular glands on both sides. MRI of the neck showed multiple, sharply circumscribed les...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-012-2522-1
更新日期：2012-12-01 00:00:00
abstract：:The monomorphic clinical aspect of destructive mid-face lesions is characterised by inflammation, induration and granulomatous transformation. This feature can be caused by various infections, toxical noxa, Wegener's Granulomatosis and different neoplasms. The case of a 19 year old patient with EBV associated nasal ty...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050573
更新日期：2000-04-01 00:00:00
abstract：:Statutory implementation of a universal newborn hearing screening requires a continuous quality assurance monitoring. Therefore, at the Annual Meeting in 2007, the members of the German Society of Phoniatrics and Pediatric Audiology passed a recommendation on measures of quality assurance applied to newborn hearing sc...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-008-1878-8
更新日期：2009-01-01 00:00:00
abstract：:A total of 57 children aged between 5 and 15 years underwent endoscopic ethmoid surgery for recurrent acute or chronic rhinogenic sinusitis, chronic sinusitis associated with bronchial asthma or chronic bronchitis, early rhinogenous orbital complications and paranasal sinus disease associated with mucoviscidosis. The ...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:In conjunction with a competent medical history, the early diagnosis of acoustic neurinomas is based on the following clinical investigations: pure tone and speech audiometry, caloric testing for nystagmus, and Stenvers radiological examination of the petrous bone. In abnormal studies, audiometry consistently indicate...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1979-11-01 00:00:00
abstract：:Due to the frequency of this phenomenon and the often considerable distress caused to the affected person, competent advice, diagnosis and treatment of snoring in adults is of particular importance. The aim of this guideline is to promote high-quality medical care for patients affected by this problem. According to th...
journal_title：HNO
pub_type： 杂志文章,实务指引
doi：10.1007/s00106-010-2103-0
更新日期：2010-03-01 00:00:00
abstract：:External otitis is one of the most common infections in the head and neck region, as about 10% of all people suffer from it at least once during their life. It is an infection of the cutis and subcutis of the outer ear canal caused by bacteria, viruses, and fungus as well as allergens or degenerative toxic substances....
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-020-00952-8
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:The microvascular anastomosed transverse rectus abdominis muscle (TRAM) island flap has been successfully used in plastic surgery for more than 10 years. In reconstructive head and neck surgery, however, it is not yet established. METHOD:We analysed the preparation and anatomical variation in TRAM flaps in ...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-005-1286-2
更新日期：2006-01-01 00:00:00
abstract：:The term "selectivity" means the ability to correctly select speech in the presence of other kinds of noise. In the literature the term "selectivity" is used very differently with regard to the different levels of the hearing system. In actual practice a separation of this term is important for possible audiometric to...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：INTRODUCTION:Hearing rehabilitation with cochlear implants has attracted increasing interest also for patients with cochleovestibular schwannoma. The authors report their experience with the surgical management of tumors with rare transmodiolar or transmacular extension and outcomes after cochlear implantation (CI). M...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-020-00919-9
更新日期：2020-10-12 00:00:00
abstract：:Serum vitamin A levels of 104 patients with head and neck cancer were analysed and compared with those of 74 normal subjects (standard values 1.1-3.7 micromol/l). Lower values of vitamin A (0.91 +/- 0.33-1.37 +/- 0.99) were found 2.4 times oftener in patients with stage III and IV disease. We were unable to determine ...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1988-09-01 00:00:00
abstract：:Functional hearing loss is defined as a syndrome in which audiologic responses are found lacking. Such phenomena are related to capacities of the auditory system which are not fully understood (and include constant functional threshold levels as well as decreasing functional overlay with steeper discrimination scores)...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1976-10-01 00:00:00
abstract：BACKGROUND:Primary immunodeficiency is a rare disease of humoral and cellular immune defense, which can lead to severe and recurrent infections of different organs. The diagnosis of this disease is often difficult, and its early identification is necessary for adequate treatment and control. OBJECTIVE:This study aimed...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-019-0683-x
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Spontaneous cerebrospinal fluid otorrhea (SCFO) or rhinorrhea originating from laterobasal defects is uncommon. An immediate closure of the defect is mandatory due to the risk of life-threatening meningitis. The purpose of this paper is to review the literature and to present two additional case reports with...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-001-0588-2
更新日期：2002-05-01 00:00:00
abstract：:Fibrous dysplasia named after Jaffè and Lichtenstein is a benign, self-limiting disorder of the bone structure. The normal bone is replaced by cellular fibrous connective tissue. Fibrous dysplasia can be differentiated into monostotic and polyostotic forms and the McCune-Albright syndrome (combination of polyostotic a...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-003-0814-1
更新日期：2003-12-01 00:00:00
abstract：:To facilitate the clinical understanding of Wegener's granulomatosis, the morphological changes involved are discussed. Such changes may be found in the entire respiratory tract or may be limited to either the upper or the lower respiratory tract with varying severity. When confronted with the nasopharyngeal course of...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1977-07-01 00:00:00
abstract：BACKGROUND:Except for glucocorticoids there is a lack of neuroprotective medication in neurosurgical interventions. OBJECTIVE:An overview of clinical trials investigating administration of the calcium antagonist nimodipine and hydroxyethyl starch (HES) in vestibular schwannoma (VS) surgery is given. Basic research is ...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-017-0386-0
更新日期：2017-09-01 00:00:00
abstract：:Reviewing the records of 131 patients with malign tumors of the mouth and oropharynx 36 (35%) alcoholics were found among 103 male patients with carcinoma. The highest incidence of alcoholism (58%) was seen in patients with carcinoma of the floor of the mouth. In alcoholics the age distribution showed a peak in the 4t...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1982-01-01 00:00:00
abstract：:Of all malignant tumors, 4-5% affect the head and neck region. Computed tomography (CT) and magnetic resonance imaging (MRI) provide the means for us to determine the precise extent and depth of infiltration of space-occupying lesions, detect submucosal growth, stage lymph nodes preoperatively, and thus facilitate bet...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-002-0668-y
更新日期：2002-07-01 00:00:00
