Mount Sinai neurotologists (Drs. Schwam, Perez, Cosetti, and Wanna) work intently with their neurosurgical colleagues to deal with sufferers with acoustic neuroma, also referred to as vestibular schwannoma, that are benign tumors on the listening to and stability nerves. Acoustic neuromas could trigger listening to loss, vertigo/dizziness/imbalance, tinnitus/ringing within the ear, or different issues if sufficiently massive. They’re usually gradual rising, however a small share will develop rapidly. Typically, therapy could include surgical procedure, radiation, or commentary, and will depend on the affected person’s age, tumor dimension, signs, listening to standing, and choice. Sufferers with massive tumors and brainstem compression usually endure surgical procedure. Tumor dimension doesn’t at all times correlate with listening to loss. In some circumstances, significantly smaller tumors, we’re in a position to protect a affected person’s listening to. In different circumstances, we could place a cochlear implant for these sufferers with extreme or profound listening to loss.

This video demonstrates a translabyrinthine strategy for a affected person with whole listening to loss preoperatively. We solely carry out this process in sufferers with important listening to loss earlier than surgical procedure, because the labyrinthectomy is anticipated to trigger full listening to loss on that facet. Different surgical approaches embody retrosigmoid and center fossa craniotomy. The choice as to which strategy will depend on surgeon choice, dimension and placement of the tumor, and listening to standing.

For extra data, go to:

https://www.mountsinai.org/places/skull-base-surgery-center/situations/acoustic-neuroma
The Mount Sinai Otolaryngology Surgical Video Collection was edited by Dr. Zachary Schwam.

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