Neuromonitoring of the cochlear nerve during vestibular schwannoma resection and simultaneous cochlear implantation

xlomafota13 shared this article with you from Inoreader Neuromonitoring of the cochlear nerve during vestibular schwannoma resection and simultaneous cochlear implantation Via hno HNO. 2021 May 21. doi: 10.1007/s00106-021-00997-3. Online ahead of print. ABSTRACT Vestibular schwannomas (VS) are benign tumors that originate from the nerve sheath of one of the two vestibular nerves. VS can have a severe impact on everyday life of the patient and may lead to symptoms such as vertigo, hearing loss (e.g., as sudden deafness), deafness, and tinnitus. Treatment concepts include observational waiting with regular imaging control ("wait and scan"), radiotherapy , or surgical resection. Depending on the size of the tumor and status of functional hearing, the surgical approach may be retrosigmoidal, transtemporal, retrolabyrinthine, or translabyrinthine. The translabyrinthine approach always results in complete deafness due to opening of the bony labyrinth. If the nerve structure of the cochlear nerve is preserved, hearing rehabilitation with a cochlear implant (CI) may be successful. In this article the surgical technique for microsurgical resection of VS using a translabyrinthine approach with simultaneous cochlear implantation under intraoperative monitoring of the cochlear nerve by electrical stimulation is presented. PMID:34019139 | DOI:10.1007/s00106-021-00997-3 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.