PDF(Pubmed)
Abstract：
A vestibular schwannoma is a benign tumor; however, the schwannoma itself and interventions can cause sensorineural hearing loss. Most vestibular schwannomas are unilateral tumors that affect hearing only on one side. Attention has focused on improving the quality of life for patients with unilateral hearing loss and therapeutic interventions to address this issue have been emphasized. Herein, we encountered a patient who was a candidate for hearing preservation surgery based on preoperative findings and had nonserviceable hearing after the surgery, according to the Gardner-Robertson classification. Postoperatively, the patient had decreased listening comprehension and ability to localize sound sources. He was fitted with bilateral hearing aids, and his ability to localize sound sources improved. Although the patient had postoperative nonserviceable hearing on the affected side and age-related hearing loss on the unaffected side, hearing aids in both ears were useful for his daily life. Therefore, the patient was able to maintain a binaural hearing effect and the ability to localize the sound source improved. This report emphasizes the importance of hearing preservation with vestibular schwannomas, and the demand for hearing loss rehabilitation as a postoperative complication can increase, even if hearing loss is nonserviceable.
摘要：
前庭神经鞘瘤是一种良性肿瘤；然而，神经鞘瘤本身和干预措施可导致感音神经性听力损失。大多数前庭神经鞘瘤是单侧肿瘤，仅在一侧影响听力。注意力集中在改善单侧听力损失患者的生活质量上，并强调了解决这一问题的治疗干预措施。在这里，我们遇到了一名患者，根据术前发现，他是听力保留手术的候选人，并且在手术后听力不可用，根据加德纳-罗伯逊分类。术后,患者的听力理解能力和定位声源的能力下降。他配备了双侧助听器，他定位声源的能力提高了。尽管患者患侧有术后不可用的听力，未患侧有与年龄相关的听力损失，双耳助听器对他的日常生活很有用。因此,患者能够保持双耳听觉效果，声源定位能力得到改善。该报告强调了前庭神经鞘瘤保留听力的重要性，作为术后并发症，对听力损失康复的需求会增加，即使听力损失是无用的。
