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Changes in Tinnitus After Vestibular Schwannoma Surgery

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Journal Sci Rep
Specialty Science
Date 2019 Feb 12
PMID 30742012
Citations 7
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Abstract

We designed a prospective study to evaluate changes in tinnitus after vestibular schwannoma (VS) surgery. Subjects included 41 patients who were diagnosed with a VS and underwent translabyrinthine microsurgery (TLM) between January 2015 and May 2016. All patients underwent related examinations and were asked to answer the Tinnitus Handicap Inventory (THI) scale and a visual analog scale (VAS) of tinnitus severity both pre- and postoperatively. Of the 41 patients, 31 (75.6%) suffered from tinnitus before surgery. Microsurgery was associated with an overall decrease in tinnitus (p < 0.001). There was a significant improvement in THI and VAS scores after surgery (p = 0.001 and p = 0.005, respectively). The decrease in THI scores in the low-frequency group was significantly larger than that of the mid- and high-frequency groups after surgery (p = 0.034 and p = 0.001, respectively). The loudness of tinnitus decreased significantly after surgery (p = 0.031). Tinnitus in patients with VS improved after TLM. Patients with mid-/high-frequency tinnitus and louder tinnitus preoperatively seemed to have a worse prognosis than those with low-frequency and quieter tinnitus.

Citing Articles

Tinnitus after treatment of vestibular schwannoma: a systematic review and comparative analysis of microsurgery and stereotactic radiosurgery.

Govindaraj R, Chambers C, Kha M, Sullivan T, Chawla S, Zacest A J Neurooncol. 2025; .

PMID: 39969785 DOI: 10.1007/s11060-024-04935-5.


Vestibular Schwannoma and Tinnitus: A Systematic Review of Microsurgery Compared to Gamma Knife Radiosurgery.

King A, Cooper J, Oganezova K, Mittal J, McKenna K, Godur D J Clin Med. 2024; 13(11).

PMID: 38892775 PMC: 11173275. DOI: 10.3390/jcm13113065.


Predictive factors of tinnitus after vestibular schwannoma surgery: a case-control study.

You N, Zhang J, Zhang D, Zhao Y, Zhang J, Xu B Chin Neurosurg J. 2024; 10(1):10.

PMID: 38566173 PMC: 10988867. DOI: 10.1186/s41016-024-00363-6.


A comparative study of microsurgery and gamma knife radiosurgery in vestibular schwannoma evaluating tumor control and functional outcome.

Tatagiba M, Wang S, Rizk A, Ebner F, van Eck A, Naros G Neurooncol Adv. 2023; 5(1):vdad146.

PMID: 38024239 PMC: 10681278. DOI: 10.1093/noajnl/vdad146.


Trading mental and physical health in vestibular schwannoma treatment decision.

Machetanz K, Lee L, Wang S, Tatagiba M, Naros G Front Oncol. 2023; 13:1152833.

PMID: 37434979 PMC: 10332305. DOI: 10.3389/fonc.2023.1152833.


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