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Hearing Preservation After Intervention in Vestibular Schwannoma
前庭神經鞘瘤手術後的聽力保護

*Kristen L. Yancey, †Samuel L. Barnett, *Walter Kutz, *Brandon Isaacson, \ddagger Zabi Wardak, \dagger Bruce Mickey, and *Jacob B. Hunter
克里斯汀·L·楊西、†塞缪爾·L·巴奈特、*瓦爾特·庫茨、*布蘭登·艾萨克森、 \ddagger 扎比·瓦爾達克、 \dagger 布魯斯·米奇和*雅各布·B·亨特。
*Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center; †Department of Neurosurgery, University of Texas Southwestern Medical Center; \ddagger Department of Radiation-Oncology, University of Texas Southwestern Medical
耳鼻喉科-頸部外科系, 德克薩斯大學西南醫學中心 神經外科系, 德克薩斯大學西南醫學中心 腫瘤放射治療科, 德克薩斯大學西南醫學中心

Center, Dallas, TX  達拉斯中心, TX

Abstract  摘要

Objective: This study aimed to assess the durability of audiological outcomes after radiation and surgery in the management of vestibular schwannoma. Study Design: Retrospective review. Setting: Tertiary academic center. Patients: Adults with sporadic vestibular schwannoma and serviceable hearing at the time of intervention. Interventions: Gamma Knife, middle cranial fossa, or retrosigmoid approaches. Main Outcome Measures: Pure-tone audiometry and speech discrimination scores. Results: Postintervention serviceable hearing (class A/B) was preserved in 70.4 % 70.4 % 70.4%70.4 \% ( n = 130 n = 130 n=130\mathrm{n}=130; mean follow-up, 3.31 yr; range, 0 15.25 yr ) 0 15.25 yr ) 0-15.25yr)0-15.25 \mathrm{yr})