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). METHODS:This retrospective case series included nine patients with either primary intralabyrinthine tumors or secondary invasion of the inner ear from the internal auditory canal. The primary endpoint with CI, performed in six patients, was word recognition score at 65 dB SPL (sound pressure level). Secondary endpoints were intra- and postoperative electrophysiological parameters, impedance measures, the presence of a wave V in the electrically evoked (via the CI) auditory brainstem responses, the specifics of postoperative CI programming, and adverse events. RESULTS:Hearing rehabilitation with CI in cases of transmodiolar tumor growth could be achieved only with incomplete tumor removal, whereas tumors with transmacular growth could be completely removed. All six patients with CI had good word recognition scores for numbers in quiet conditions (80-100% at 65 dB SPL, not later than 6 to 12 months post CI activation). Four of these six patients achieved good to very good results for monosyllabic words within 1-36 months (65-85% at 65 dB SPL). The two other patients, however, had low scores for monosyllables at 6 months (25 and 15% at 65 dB SPL, respectively) with worsening of results thereafter. CONCLUSIONS:Cochleovestibular schwannomas with transmodiolar and transmacular extension represent a rare entity with specific management requirements. Hearing rehabilitation with CI is a principal option in these patients.
journal_name
HNOjournal_title
HNOauthors
Plontke SK,Caye-Thomasen P,Strauss C,Kösling S,Götze G,Siebolts U,Vordermark D,Wagner L,Fröhlich L,Rahne Tdoi
10.1007/s00106-020-00919-9subject
Has Abstractpub_date
2020-10-12 00:00:00eissn
0017-6192issn
1433-0458pii
10.1007/s00106-020-00919-9pub_type
杂志文章相关文献
HNO文献大全abstract：:We present the case of a female patient suffering from recurrent vertigo and low-frequency hearing loss who was admitted for inpatient treatment with the diagnosis of Ménière's disease. After evaluation of all diagnostic examinations, including psychosomatic evaluation, a diagnosis of vestibular migraine with accompan...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-011-2312-1
更新日期：2011-11-01 00:00:00
abstract：:The translaryngeal tracheotomy (TLT) according to Fantoni with rigid endoscopy is well known and easy to execute. In our department we have used this method since 2002. In 17 patients suffering from carcinomas of the upper aerodigestive tract, we performed a TLT. Peri- and postoperative complications were examined. In...
journal_title：HNO
pub_type： 临床试验,杂志文章
doi：10.1007/s00106-006-1436-1
更新日期：2007-02-01 00:00:00
abstract：BACKGROUND:It has been suggested that auditory processing disorders (APD) and attention deficit/hyperactivity disorders (ADHD) may be the same entity with slightly differing symptoms. For testing this theory we compared parents' ratings of APD and ADHD behavioural characteristics. METHODS:A retrospective study was car...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-005-1288-0
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Girls tend to acquire language skills faster than boys do. Furthermore, specific language impairment and dyslexia are diagnosed more often in males than in females. We investigated whether auditory verbal learning skills in boys are inferior to those of girls as a possible cause for gender dependency in lang...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-009-1996-y
更新日期：2010-01-01 00:00:00
abstract：:The cochlea and vestibular organ is often affected in lightning strikes. A lightning strike to a motor vehicle with cochlear injury has not been described hitherto in the literature. We report the case of a 44-year-old male patient with sensorineural hearing loss and tinnitus after his car was struck by lightning. Whi...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-009-2000-6
更新日期：2009-10-01 00:00:00
abstract：:Fifteen cadavers were examined bilaterally for the topography of the superior thyroid artery and vein an lower cervical ansa as an axial bundle of vessels and nerves for the infrahyoid myofascial flap. Using injections of methylene blue, the vascular territories of the superior thyroid artery were demonstrated. The su...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:Carotid bleeding is one of the most severe complications in ear, nose and throat (ENT) surgery. It is a rare complication in patients with cancer of the head and neck after radiochemotherapy. We report the case of a 65-year-old man who suffered from cancer of the tonsils (pT2pN1M0) and was treated in 1987 with surgery...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-009-1974-4
更新日期：2009-11-01 00:00:00
abstract：:We investigated 15 patients with unilateral facial paralysis using gadolinium(Gd)-DTPA (diethylenetriamine pentaacetic acid) enhanced (magnetic resonance imaging (MRI). Eleven were idiopathic and 1 each was due to basal skill trauma, Lyme's disease, Foville's syndrome and herpes zoster oticus. Ten of 11 Bell's palsies...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：BACKGROUND:The prognostic potential of click-evoked early acoustic evoked potentials (EAEP) for vestibular schwannoma (VS) diagnostics is considered insufficient for tumors small than approximately <1.5 cm in diameter. However, up until now, the derivations at higher sound pressure levels have mainly been used for EAEP...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-016-0261-4
更新日期：2017-09-01 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：:A fully implantable hearing aid consists of a sound receptor (microphone), an electronic amplifier including active audio-signal processing, an electromechanical transducer (actuator) for stimulating the ear by vibration, and an energy source. The energy source may be either a primary cell or a rechargeable (secondary...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s001060050209
更新日期：1998-02-01 00:00:00
abstract：:A retrospective study of 24 children suffering from nasopharyngeal cancer (NPC) during the years 1974-1983 is reported. The diagnosis was delayed because of the primary tumor site and difficulty in examination. Cervical lymph node enlargement (83.3%) was the commonest presenting symptom. The diagnosis was usually conf...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:Despite recent advances in radiochemotherapy, treatment of locally advanced head and neck squamous cell carcinoma is still challenging, and survival rates have improved only slightly. This is due to the high frequency of metastases and local and/or regional tumor recurrences that have acquired radio- or chemoresistanc...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-015-0111-9
更新日期：2016-05-01 00:00:00
abstract：:Fifty-one patients with inverted papillomas of the nose and paranasal sinuses underwent surgery, 35 by an intranasal endoscopic method and 16 by an extranasal approach. The recurrence rate after endoscopy surgery was 17% (6/35), compared with 19% (3/16) after an external approach. Endoscopic surgery proved to be succe...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1990-07-01 00:00:00
abstract：BACKGROUND:We examined whether training conceptualized as a complement to standard medical treatment (ST) for acute tinnitus to promote patients' capacity to distract attention from their tinnitus and to relax (distraction and relaxation training) has a positive effect on tinnitus-specific distress (tinnitus loudness, ...
journal_title：HNO
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00106-009-2019-8
更新日期：2010-05-01 00:00:00
abstract：:Haemangioma originating in the paranasal sinuses are a rare entity. In the case of unilateral sinusitis the differential diagnosis should include tumors. The following case of a 30-year-old female patient with a therapy-resistant sinusitis showed bone destruction and a maxillary shadow on computed tomography. The hist...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-010-2225-4
更新日期：2011-07-01 00:00:00
abstract：:Bone anchored hearing aids (BAHA) achieve optimal acoustic coupling by means of direct bone conduction via an osseointegrated percutaneous titanium implant. Currently this system has a record of over 30 years of clinical application and reliability. Patients with bilateral hearing loss with air-bone gaps will benefit ...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-009-1887-2
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:The impact of outpatient clinics on emergency health care has not yet been analyzed satisfactorily. This study aims to determine the importance of the Jena University Outpatient ENT Clinic in emergency health care. METHODS:In a retrospective study, all 1,884 emergency cases from 2008 were gathered and analy...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-011-2461-2
更新日期：2012-07-01 00:00:00
abstract：:Only about 8% of head and neck tumors affect the midface. This anatomical area is characterized by an enormous number of functionally important structures, and it is frequently only possible to achieve small resection margin distances. To avoid complications and unfavorable results, a dedicated preparation of both pat...
journal_title：HNO
pub_type： 杂志文章,评审
doi：10.1007/s00106-018-0512-7
更新日期：2018-06-01 00:00:00
abstract：:The universal neonatal hearing screening (UNHS) program demands detection of hearing loss within the first 3 months of life. Practicability and different screening methods should be evaluated. Thus, 617 patients (329 m., 288 w.) were analyzed; 246 children were referred in the UNHS, 389 with risk factors. In 459 child...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-012-2570-6
更新日期：2012-10-01 00:00:00
abstract：:Four low-vacuum systems and 6 high-vacuum systems were examined concerning their pressure-volume relationships. For each type the maximum filling volume for sufficient drainage of wound secretions was determined. The use of a wound fluid substitute instead of water resulted in a lower aspiration volume. Enlargement of...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:Jastreboff und Hazell [9] developed a neurophysiological approach to tinnitus perception, including the important role of the central nervous system in the maintenance and intrusiveness of tinnitus. They introduced tinnitus-retraining therapy, consisting of four different strategies: (1) directive and person-centered ...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050143
更新日期：1997-09-01 00:00:00
abstract：BACKGROUND:The pectoralis major myocutaneous flap (PMMF) is an important reconstructive tool for lesions in the head and neck region. Using the supraclavicular route, the PMMF reliably transfers large amounts of well-vascularized skin and muscle into defects of the upper aerodigestive tract. However, limited length and...
journal_title：HNO
pub_type： 临床试验,杂志文章
doi：10.1007/s00106-005-1344-9
更新日期：2006-07-01 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
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：: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：:An unusually long uvula as a cause of chronic throat irritation with the sensation of a foreign body in a 35-year old patient is reported, with symptoms relieved by partial resection of the uvula. ...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1977-01-01 00:00:00
abstract：:Compared to other countries, the prevalence of speech-language disorders among children and also the intervention frequency appear to be much higher in Germany. Since otorhinolaryngologists often initiate speech-language interventions, the first part of this review systematically outlines the guideline-conform diagnos...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s00106-018-0509-2
更新日期：2018-06-01 00:00:00
abstract：:The surgical treatment of lesions of the interorbital area belongs to the field of the rhinologist. Treatment options have been extended in recent years by technical advances. These include the extension of microsurgery to the base of the skull and the use of fibrin tissue glue. We have also had experience of an osteo...
journal_title：HNO
pub_type： 杂志文章
doi：
更新日期：1983-09-01 00:00:00
abstract：:The presence of the internal carotid artery in the middle ear is a rare but known vascular anomaly. A blue-reddish mass behind the tympanic membrane, hearing loss and a tinnitus that is synchronous with the pulse are the typical symptoms and should lead to a correct diagnosis. The diagnostic procedure includes high re...
journal_title：HNO
pub_type： 杂志文章
doi：10.1007/s001060050480
更新日期：1999-11-01 00:00:00
