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Start Over Author "Bisi N" Topic evaluation of medical care
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1. Is the intra-operative morphology of the cochlear nerve a good predictor of the results of simultaneous ipsilateral cochlear implantation in vestibular schwannoma surgery?

Author

Marchioni, D, Bisi, N, Francoli, P, and Rubini, A

Subjects
*COCHLEAR implants, *EVALUATION of medical care, *STATISTICS, *ACOUSTIC nerve, *SENSORINEURAL hearing loss, *T-test (Statistics), *CHI-squared test, *DESCRIPTIVE statistics, *ACOUSTIC neuroma, *PREDICTION models
Abstract

Objective: There are currently no guidelines for simultaneous vestibular schwannoma surgery and cochlear implantation. This paper therefore provides our experience and our results regarding predictive parameters of good hearing. Methods: Morphological appearance of the cochlear nerve after tumour resection was used as the main criterion for implantation in the case series. Patients were then divided into responders and non-responders to cochlear implantation, and potential outcome predicting factors were evaluated in the two groups. Results: Nine of the 16 patients showed a response to cochlear implantation. Pre-surgery serviceable hearing was significantly more common in the responder group, while no difference was found in the two groups for other variables. Conclusion: This study highlights how the morphological appearance of the cochlear nerve can be useful to predict the hearing outcome and indicates that satisfactory hearing results are closely related to pre-surgery serviceable hearing. [ABSTRACT FROM AUTHOR]

Published
2023
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