دورية أكاديمية

Audiological Characteristics of Vestibular Schwannoma Patients With Normal Pure-Tone Audiometry.

التفاصيل البيبلوغرافية
العنوان: Audiological Characteristics of Vestibular Schwannoma Patients With Normal Pure-Tone Audiometry.
المؤلفون: Zhang W; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Shi J; Fudan University, Shanghai, China., Yin Y; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Ma M; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Lyu J; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Yang J; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Zhao W; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China., Yuan Y; Department of Otorhinolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.; Research Institute of Otolaryngology, Fudan University, Shanghai, China.; Lateral Skull Base Diagnosis and Treatment Center, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.
المصدر: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2024 Aug; Vol. 171 (2), pp. 502-510. Date of Electronic Publication: 2024 Apr 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 8508176 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6817 (Electronic) Linking ISSN: 01945998 NLM ISO Abbreviation: Otolaryngol Head Neck Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2023- : [Oxford] : Wiley
Original Publication: [Rochester, Minn.] : The Academy, [c1981-
مواضيع طبية MeSH: Neuroma, Acoustic*/complications , Neuroma, Acoustic*/physiopathology , Audiometry, Pure-Tone* , Auditory Threshold*/physiology , Evoked Potentials, Auditory, Brain Stem*/physiology, Humans ; Female ; Male ; Retrospective Studies ; Middle Aged ; Adult ; Aged ; Otoacoustic Emissions, Spontaneous/physiology
مستخلص: Objective: To investigate the audiological characteristics of vestibular schwannoma (VS) patients with normal pure-tone audiometry (PTA) results.
Study Design: A retrospective study.
Setting: Forty-two VS patients with normal PTA results from October 2016 to October 2022 were included.
Methods: Normal PTA was defined when the hearing threshold is ≤25 dB hearing loss (HL) in each test frequency and the PTA is ≤25 dB HL. Results of multiple audiological tests such as the auditory brainstem response (ABR), distortion product otoacoustic emission (DPOAE), multiple auditory steady-state responses threshold (ASSR), and speech discrimination score were retrospectively reviewed. Demographic data of these patients were also been collected.
Results: According to our results, the ABR and average ASSR threshold of the affected side were statistically significantly higher in VS patients with normal PTA. ABR waveforms on the affected side also showed more abnormalities. The DPOAE pass rates of the affected side were lower than the unaffected side while the amplitude and signal-to-noise ratio rate was also lower. In addition, we used magnetic resonance imaging 3-dimensional reconstruction images to measure the volume of tumors in these patients. We also found that higher ABR threshold means lager tumor size in patients with normal PTA.
Conclusion: VS patients with normal PTA result cannot be assumed to have no impairment of hearing function. ABR, DPOAE, and ASSR results showed the characteristic changes in the affect ear. ABR threshold has the highest sensitivity for hearing abnormalities and is strong relative with tumor size in patients with normal PTA.
(© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
References: Gal TJ, Shinn J, Huang B. Current epidemiology and management trends in acoustic neuroma. Otolaryngol Head Neck Surg. 2010;142:677‐681. doi:10.1016/j.otohns.2010.01.037.
Propp JM, McCarthy BJ, Davis FG, Preston‐Martin S. Descriptive epidemiology of vestibular schwannomas. Neuro Oncol. 2006;8:1‐11.
Breivik CN, Nilsen RM, Myrseth E, et al. Conservative management or gamma knife radiosurgery for vestibular schwannoma: tumor growth, symptoms, and quality of life. Neurosurgery. 2013;73:48‐57. doi:10.1227/01.neu.0000429862.50018.b9.
d'Avella D, Mazzoni A, Zanoletti E, Martini A. Microsurgical endoscopy‐assisted presigmoid retrolabyrinthine approach as a minimally invasive surgical option for the treatment of medium to large vestibular schwannoma. Acta Neurochir. 2013;155:671‐673. doi:10.1007/s00701-012-1599-3.
Peris‐Celda M, Graffeo CS, Perry A, et al. Main symptom that led to medical evaluation and diagnosis of vestibular schwannoma and patient‐reported tumor size: cross‐sectional study in 1,304 patients. J Neurol Surg Part B Skull Base. 2019;80:316‐322. doi:10.1055/s-0038-1675175.
Kentala E, Pyykkö I. Clinical picture of vestibular schwannoma. Auris Nasus Larynx. 2001;28:15‐22.
Graamans K, Van Dijk JE, Janssen LW. Hearing deterioration in patients with a non‐growing vestibular schwannoma. Acta Otolaryngol. 2003;123:51‐54.
Zanoletti E, Mazzoni A, Chiumenti FA, d'Avella D, Cazzador D. Early translabyrinthine surgery for small‐ and medium‐sized vestibular schwannomas: consecutive cohort analysis of outcomes. Otol Neurotol. 2022;43:962‐967. doi:10.1097/MAO.0000000000003608.
Gheorghe L, Negru D, Cobzeanu MD, et al. The diagnostic accuracy of pure‐tone audiometry screening protocols for vestibular schwannoma in patients with asymmetrical hearing loss—a systematic review and meta‐analysis. Diagnostics. 2022;12:2776. doi:10.3390/diagnostics12112776.
Beck HJ, Beatty CW, Harner SG, Ilstrup DM. Acoustic neuromas with normal pure tone hearing levels. Otolaryngol Head Neck Surg. 1986;94:96‐103.
Roland PS, Glasscock ME, Bojrab DI, Josey AF. Normal hearing in patients with acoustic neuroma. South Med J. 1987;80:166‐169.
Ogawa K, Kanzaki J, Ogawa S, Tsuchihashi N, Yamamoto M. Acoustic neuromas with normal hearing. Acta Otolaryngol. 1991;111:144‐149.
Magdziarz DD, Wiet RJ, Dinces EA, Adamiec LC. Normal audiologic presentations in patients with acoustic neuroma: an evaluation using strict audiologic parameters. Otolaryngol Head Neck Surg. 2000;122:157‐162.
Pinna MH, Bento RF, Neto RVB. Vestibular schwannoma: 825 cases from a 25‐year experience. Int Arch Otorhinolaryngol. 2012;16:466‐475. doi:10.7162/S1809-97772012000400007.
Salem N, Galal A, Mastronardi V, Talaat M, Sobhy O, Sanna M. Audiological evaluation of vestibular schwannoma patients with normal hearing. Audiol Neurotol. 2019;24:117‐126. doi:10.1159/000500660.
Saleh EA, Aristegui M, Naguib MB, Cokesser Y, Landolfi M, Sanna M. Normal hearing in acoustic neuroma patients: a critical evaluation. Am J Otol. 1996;17:127‐132.
Morlet T, Dubreuil C, Duclaux R, Ferber‐Viart C. Preoperative speech and pure‐tone audiometry in four types of patients with acoustic neuroma. Am J Otolaryngol. 2003;24:297‐305.
Mobley SR, Odabasi O, Ahsan S, Martin G, Stagner B, Telischi FF. Distortion‐product otoacoustic emissions in nonacoustic tumors of the cerebellopontine angle. Otolaryngol Head Neck Surg. 2002;126:115‐120.
Rampp S, Rensch L, Simmermacher S, Rahne T, Strauss C, Prell J. Intraoperative auditory steady‐state monitoring during surgery in the cerebellopontine angle for estimation of postoperative hearing classes. J Neurosurg. 2017;127:559‐568. doi:10.3171/2016.7.JNS16460.
Lee SH, Choi SK, Lim YJ, et al. Otologic manifestations of acoustic neuroma. Acta Otolaryngol. 2015;135:140‐146. doi:10.3109/00016489.2014.952334.
Sakamoto T, Fukuda S, Inuyama Y. Hearing loss and growth rate of acoustic neuromas in follow‐up observation policy. Auris Nasus Larynx. 2001;28(suppl):S23‐S27.
Stangerup S‐E, Caye‐Thomasen P. Epidemiology and natural history of vestibular schwannomas. Otolaryngol Clin North Am. 2012;45:257‐268. doi:10.1016/j.otc.2011.12.008.
Harun A, Agrawal Y, Tan M, Niparko JK, Francis HW. Sex and age associations with vestibular schwannoma size and presenting symptoms. Otol Neurotol. 2012;33:1604‐1610. doi:10.1097/MAO.0b013e31826dba9e.
Moffat DA, Kasbekar A, Axon PR, Lloyd SKW. Growth characteristics of vestibular schwannomas. Otol Neurotol. 2012;33:1053‐1058. doi:10.1097/MAO.0b013e3182595454.
Babu R, Sharma R, Bagley JH, Hatef J, Friedman AH, Adamson C. Vestibular schwannomas in the modern era: epidemiology, treatment trends, and disparities in management. J Neurosurg. 2013;119:121‐130. doi:10.3171/2013.1.JNS121370.
Jethanamest D, Rivera AM, Ji H, Chokkalingam V, Telischi FF, Angeli SI. Conservative management of vestibular schwannoma: predictors of growth and hearing. Laryngoscope. 2015;125:2163‐2168. doi:10.1002/lary.25159.
Wolbers JG, Dallenga AHG, van Linge A, et al. Identifying at diagnosis the vestibular schwannomas at low risk of growth in a long‐term retrospective cohort. Clin Otolaryngol. 2016;41:788‐792. doi:10.1111/coa.12661.
Kim JS, Cho Y‐S. Growth of vestibular schwannoma: long‐term follow‐up study using survival analysis. Acta Neurochir. 2021;163:2237‐2245. doi:10.1007/s00701-021-04870-8.
Tveiten OV, Carlson ML, Goplen F, Vassbotn F, Link MJ, Lund‐Johansen M. Long‐term auditory symptoms in patients with sporadic vestibular schwannoma: an international cross‐sectional study. Neurosurgery. 2015;77:218‐227. doi:10.1227/NEU.0000000000000760.
Stangerup SE, Tos M, Thomsen J, Caye‐Thomasen P. Hearing outcomes of vestibular schwannoma patients managed with ‘wait and scan’: predictive value of hearing level at diagnosis. J Laryngol Otol. 2010;124:490‐494. doi:10.1017/S0022215109992611.
Sweeney AD, Carlson ML, Shepard NT, et al. Congress of neurological surgeons systematic review and evidence‐based guidelines on otologic and audiologic screening for patients with vestibular schwannomas. Neurosurgery. 2018;82:E29‐E31. doi:10.1093/neuros/nyx509.
Gardner G, Robertson JH. Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol. 1988;97:55‐66.
Gupta VK, Thakker A, Gupta KK. Vestibular schwannoma: what we know and where we are heading. Head Neck Pathol. 2020;14:1058‐1066. doi:10.1007/s12105-020-01155-x.
Ramaswamy AT, Golub JS. Management of vestibular schwannomas for the radiologist. Neuroimaging Clin N Am. 2019;29:173‐182. doi:10.1016/j.nic.2018.09.003.
Fieux M, Pouzet C, Bonjour M, Zaouche S, Jouanneau E, Tringali S. MRI monitoring of small and medium‐sized vestibular schwannomas: predictors of growth. Acta Otolaryngol. 2020;140:361‐365. doi:10.1080/00016489.2020.1717608.
Crowson MG, Rocke DJ, Hoang JK, Weissman JL, Kaylie DM. Cost‐effectiveness analysis of a non‐contrast screening MRI protocol for vestibular schwannoma in patients with asymmetric sensorineural hearing loss. Neuroradiology. 2017;59:727‐736. doi:10.1007/s00234-017-1859-2.
Basu S, Youngs R, Mitchell‐Innes A. Screening for vestibular schwannoma in the context of an ageing population. J Laryngol Otol. 2019;133:640‐649. doi:10.1017/S0022215119000963.
Jayawardena A, Waller B, Edwards B, et al. Portable audiometric screening platforms used in low‐resource settings: a review. J Laryngol Otol. 2019;133:74‐79. doi:10.1017/S0022215118001925.
Margolis RH, Saly GL. Asymmetric hearing loss: definition, validation, and prevalence. Otol Neurotol. 2008;29:422‐431. doi:10.1097/MAO.0b013e31816c7c09.
Saliba I, Bergeron M, Martineau G, Chagnon M. Rule 3,000: a more reliable precursor to perceive vestibular schwannoma on MRI in screened asymmetric sensorineural hearing loss. Eur Arch Otrhinolaryngol. 2011;268:207‐212. doi:10.1007/s00405-010-1378-9.
Koors PD, Thacker LR, Coelho DH. ABR in the diagnosis of vestibular schwannomas: a meta‐analysis. Am J Otolaryngol. 2013;34:195‐204. doi:10.1016/j.amjoto.2012.11.011.
Robinette MS, Bauch CD, Olsen WO, Cevette MJ. Auditory brainstem response and magnetic resonance imaging for acoustic neuromas: costs by prevalence. Arch Otolaryngol Head Neck Surg. 2000;126:963‐966.
Grayeli AB, Sterkers O, Toupet M. Audiovestibular function in patients with otosclerosis and balance disorders. Otol Neurotol. 2009;30:1085‐1091. doi:10.1097/MAO.0b013e3181b0fd5d.
Bush ML, Jones RO, Shinn JB. Auditory brainstem response threshold differences in patients with vestibular schwannoma: a new diagnostic index. Ear Nose Throat J. 2008;87:458‐462.
Chandrasekhar SS, Brackmann DE, Devgan KK. Utility of auditory brainstem response audiometry in diagnosis of acoustic neuromas. Am J Otol. 1995;16:63‐67.
Gouveris HT, Victor A, Mann WJ. Cochlear origin of early hearing loss in vestibular schwannoma. Laryngoscope. 2007;117:680‐683.
Kagoya R, Shinogami M, Kohno M, Yamasoba T. Distortion‐product otoacoustic emission tests evaluate cochlear function and differentiate cochlear and vestibular schwannoma. Otolaryngol Head Neck Surg. 2013;148:267‐271. doi:10.1177/0194599812469502.
Rance G, Dowell RC, Rickards FW, Beer DE, Clark GM. Steady‐state evoked potential and behavioral hearing thresholds in a group of children with absent click‐evoked auditory brain stem response. Ear Hear. 1998;19:48‐61.
Oghalai JS, Tonini R, Rasmus J, et al. Intra‐operative monitoring of cochlear function during cochlear implantation. Cochlear Implants Int. 2009;10:1‐18. doi:10.1002/cii.372.
Swanepoel D, Ebrahim S. Auditory steady‐state response and auditory brainstem response thresholds in children. Eur Arch Otrhinolaryngol. 2009;266:213‐219. doi:10.1007/s00405-008-0738-1.
فهرسة مساهمة: Keywords: auditory brainstem response; pure‐tone audiometry; tumor size; vestibular schwannoma
تواريخ الأحداث: Date Created: 20240426 Date Completed: 20240726 Latest Revision: 20240726
رمز التحديث: 20240726
DOI: 10.1002/ohn.783
PMID: 38667629
قاعدة البيانات: MEDLINE