Change in hearing during 'wait and scan' management of patients with vestibular schwannoma

Sven-Eric Stangerup; P. Caye-Thomasen; M. Tos; J. Thomsen

doi:10.1017/S0022215107001077

Change in hearing during 'wait and scan' management of patients with vestibular schwannoma

Sven-Eric Stangerup, P. Caye-Thomasen, M. Tos, J. Thomsen

96 Citationer (Scopus)

Abstract

Aim: To evaluate hearing changes during 'wait and scan' management of patients with vestibular schwannoma. Subjects: Over a 10-year period, 636 patients have prospectively been allocated to 'wait and scan' management, with annual magnetic resonance scanning and audiological examination. Results: At the time of diagnosis, 334 patients (53 per cent) had good hearing and speech discrimination of better than 70 per cent; at the end of the 10-year observation period, this latter percentage was 31 per cent. In 17 per cent of the patients, speech discrimination at diagnosis was 100 per cent; of these, 88 per cent still had good hearing at the end of the observation period. However, in patients with even a small initial speech discrimination loss, only 55 per cent maintained good hearing at the end of the observation period. Conclusion: After comparing the hearing results of hearing preservation surgery and of radiation therapy with those of 'wait and scan' management, it appears that, in vestibular schwannoma patients with a small tumour and normal speech discrimination, the main indication for active treatment should be established tumour growth
Udgivelsesdato: 2008/7

Originalsprog	Engelsk
Tidsskrift	Journal of Laryngology and Otology
Vol/bind	122
Udgave nummer	7
Sider (fra-til)	673-681
Antal sider	8
ISSN	0022-2151
DOI	https://doi.org/10.1017/S0022215107001077
Status	Udgivet - 2008

Adgang til dokumentet

10.1017/S0022215107001077

Citationsformater

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title = "Change in hearing during 'wait and scan' management of patients with vestibular schwannoma",

abstract = "Aim: To evaluate hearing changes during 'wait and scan' management of patients with vestibular schwannoma. Subjects: Over a 10-year period, 636 patients have prospectively been allocated to 'wait and scan' management, with annual magnetic resonance scanning and audiological examination. Results: At the time of diagnosis, 334 patients (53 per cent) had good hearing and speech discrimination of better than 70 per cent; at the end of the 10-year observation period, this latter percentage was 31 per cent. In 17 per cent of the patients, speech discrimination at diagnosis was 100 per cent; of these, 88 per cent still had good hearing at the end of the observation period. However, in patients with even a small initial speech discrimination loss, only 55 per cent maintained good hearing at the end of the observation period. Conclusion: After comparing the hearing results of hearing preservation surgery and of radiation therapy with those of 'wait and scan' management, it appears that, in vestibular schwannoma patients with a small tumour and normal speech discrimination, the main indication for active treatment should be established tumour growth Udgivelsesdato: 2008/7",

author = "Sven-Eric Stangerup and P. Caye-Thomasen and M. Tos and J. Thomsen",

note = "Times Cited: 0ArticleEnglishStangerup, S. EGentofte Univ Hosp, ENT Dept, Niels Andersens Vej 65, DK-2900 Copenhagen, DenmarkCited References Count: 46329CSCAMBRIDGE UNIV PRESSEDINBURGH BLDG, SHAFTESBURY RD, CB2 8RU CAMBRIDGE, ENGLANDCAMBRIDGE",

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T1 - Change in hearing during 'wait and scan' management of patients with vestibular schwannoma

AU - Stangerup, Sven-Eric

AU - Caye-Thomasen, P.

AU - Tos, M.

AU - Thomsen, J.

N1 - Times Cited: 0ArticleEnglishStangerup, S. EGentofte Univ Hosp, ENT Dept, Niels Andersens Vej 65, DK-2900 Copenhagen, DenmarkCited References Count: 46329CSCAMBRIDGE UNIV PRESSEDINBURGH BLDG, SHAFTESBURY RD, CB2 8RU CAMBRIDGE, ENGLANDCAMBRIDGE

PY - 2008

Y1 - 2008

N2 - Aim: To evaluate hearing changes during 'wait and scan' management of patients with vestibular schwannoma. Subjects: Over a 10-year period, 636 patients have prospectively been allocated to 'wait and scan' management, with annual magnetic resonance scanning and audiological examination. Results: At the time of diagnosis, 334 patients (53 per cent) had good hearing and speech discrimination of better than 70 per cent; at the end of the 10-year observation period, this latter percentage was 31 per cent. In 17 per cent of the patients, speech discrimination at diagnosis was 100 per cent; of these, 88 per cent still had good hearing at the end of the observation period. However, in patients with even a small initial speech discrimination loss, only 55 per cent maintained good hearing at the end of the observation period. Conclusion: After comparing the hearing results of hearing preservation surgery and of radiation therapy with those of 'wait and scan' management, it appears that, in vestibular schwannoma patients with a small tumour and normal speech discrimination, the main indication for active treatment should be established tumour growth Udgivelsesdato: 2008/7

AB - Aim: To evaluate hearing changes during 'wait and scan' management of patients with vestibular schwannoma. Subjects: Over a 10-year period, 636 patients have prospectively been allocated to 'wait and scan' management, with annual magnetic resonance scanning and audiological examination. Results: At the time of diagnosis, 334 patients (53 per cent) had good hearing and speech discrimination of better than 70 per cent; at the end of the 10-year observation period, this latter percentage was 31 per cent. In 17 per cent of the patients, speech discrimination at diagnosis was 100 per cent; of these, 88 per cent still had good hearing at the end of the observation period. However, in patients with even a small initial speech discrimination loss, only 55 per cent maintained good hearing at the end of the observation period. Conclusion: After comparing the hearing results of hearing preservation surgery and of radiation therapy with those of 'wait and scan' management, it appears that, in vestibular schwannoma patients with a small tumour and normal speech discrimination, the main indication for active treatment should be established tumour growth Udgivelsesdato: 2008/7

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DO - 10.1017/S0022215107001077

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JO - The Journal of laryngology and otology. Supplement

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