Title :

Preoperative assessment of cervical vestibular evoked myogenic potentials (cvemps) help in predicting hearing preservation after removal of vestibular schwannomas through a middle fossa craniotomy

Author(s) :

Hochet, Baptiste [Auteur]
Achard, Sophie [Auteur]
Lorenz, Mark Brandt [Auteur]
Baroncini, Marc [Auteur]
Berama, Amine [Auteur]
Gabanou, Frederic [Auteur]
Devambez, Marion [Auteur]
Lejeune, Jean-Paul [Auteur]
Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189
Vincent, Christophe [Auteur]
Médicaments et Biomatériaux à libération contrôlée : Mécanismes et Optimisation - U1008 [MBLC]
Bonne, Nicolas-Xavier [Auteur]

Journal title :

Otology & neurotology . official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

Abbreviated title :

Otol. Neurotol.

Publication date :

2018-10-18

ISSN :

1537-4505

Keyword(s) :

Cervical vestibular evoked myogenic potentials
Middle cranial fossa surgery
Vestibular schwannoma
Middle fossa craniotomy
Hearing preservation

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

To determine whether cervical vestibular evoked myogenic potentials (cVEMPs) are predictive of hearing preservation in patients undergoing vestibular schwannoma removal through middle fossa craniotomy approach. Retrospective ...
Show more >To determine whether cervical vestibular evoked myogenic potentials (cVEMPs) are predictive of hearing preservation in patients undergoing vestibular schwannoma removal through middle fossa craniotomy approach. Retrospective case study. Tertiary referral center. Eighteen patients who underwent a middle fossa craniotomy for vestibular schwannoma (stage I or II of Koos classification) with attempted hearing preservation from January 2008 to February 2016 were retrospectively reviewed. Pre-surgical cVEMPs test, videonystagmography (caloric test), and magnetic resonance imaging (MRI) as well as a pre- and post-surgical audiometry test. cVEMPs parameters including amplitude asymmetry ratio (AR), P13, and N23 latencies and peak-to-peak amplitude between P13 and N23 waves were calculated. Hearing data were classified according to the AAO-HNS hearing classes. The nerve of origin of the tumor was specified during surgery and the largest tumor diameter was measure on MRI axial plane on T2-CISS weighed images. Preoperative amplitude asymmetry ratio was lower (n = 15, Mann-Whitney U test, p < 0.001) in the group with postoperative hearing preservation (n = 11) compared with the group with postoperative hearing preservation failure (n = 4). The positive predictive value of an AR less than 24% to assess postoperative hearing preservation is 91.6%. Tumor size and localization were not correlated with cVEMPs, nor with caloric testing in this group of small-sized intracanalicular vestibular schwannomas. Our data suggest that cVEMPs may help predict hearing preservation outcome in vestibular schwannoma surgery via the middle fossa craniotomy approach.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172
• Médicaments et Biomatériaux à libération contrôlée : Mécanismes et Optimisation - U1008 [MBLC]
• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Submission date :

2021-01-20T15:59:10Z