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  • Title: Long-term hearing preservation after middle fossa removal of vestibular schwannoma.
    Author: Friedman RA, Kesser B, Brackmann DE, Fisher LM, Slattery WH, Hitselberger WE.
    Journal: Otolaryngol Head Neck Surg; 2003 Dec; 129(6):660-5. PubMed ID: 14663432.
    Abstract:
    OBJECTIVE: We sought to determine long-term hearing preservation in vestibular schwannoma patients after undergoing middle fossa resection. STUDY DESIGN, SETTING, AND OUTCOME MEASURES: We conducted a retrospective chart review of patients undergoing middle fossa resection from 1990 to 1995 at a tertiary care center. Pure-tone thresholds, before resection and at least 5 years after resection, and speech discrimination scores are reported. RESULTS: Seventy percent of patients with immediate postoperative hearing maintained serviceable hearing at more than 5 years after surgery. Pure-tone average in the operative ear changed at the same rate as hearing in the unoperated ear during this follow-up period. CONCLUSIONS: More than two thirds of patients who underwent middle fossa resection of a vestibular schwannoma with some hearing postoperatively maintain that hearing at greater than 5 years of follow-up. Surgery alone does not have a negative impact on long-term hearing preservation.
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