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]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Achard, Sophie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lorenz, Mark Brandt [Auteur]
Baroncini, Marc [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Berama, Amine [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Gabanou, Frederic [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Devambez, Marion [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lejeune, Jean-Paul [Auteur]
Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189
Vincent, Christophe [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Bonne, Nicolas-Xavier [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]

Journal title :

Otology and Neurotology

Abbreviated title :

Otol. Neurotol.

Volume number :

39

Pages :

e1143-e1149

Publication date :

2018-10-18

ISSN :

1537-4505

English 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 :

• Advanced Drug Delivery Systems (ADDS) - U1008
• Lille Neurosciences & Cognition (LilNCog) - U 1172
• Thérapies Lasers Assistées par l'Image pour l'Oncologie (ONCO-THAI) - U1189

Submission date :

2021-01-20T15:59:10Z
2024-02-20T09:44:42Z