• Am J Otol · Sep 1993

    Case Reports

    Hearing preservation following a transtemporal resection of an acoustic schwannoma: a case report.

    • P G Smith, D C Bigelow, G R Kletzker, J P Leonetti, B K Pugh, and E T Mishler.
    • Center for Cranial Base Surgery, St. Johns Mercy Medical Center, St. Louis, Missouri.
    • Am J Otol. 1993 Sep 1; 14 (5): 434-6.

    AbstractThe transtemporal or translabyrinthine approach is generally regarded as the most reliable method of ensuring total tumor removal and preservation of facial nerve function in the resection of a cerebellopontine angle tumor. This is particularly true in removing a tumor that has a significant extension into the patient's internal auditory canal. An anticipated deficit associated with the approach is a total hearing loss in the patient's hearing on the operated side. We have encountered a patient, however, who was serially documented as having serviceable hearing after a transtemporal removal of an acoustic schwannoma. Plausible reasons for the functional preservation of some of this patient's hearing are included in the discussion.

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