To evaluate the change in hearing handicap
after translabyrinthine vestibular schwannoma
Prospective administration of the Hearing Handicap
Inventory preoperatively and at 3 and 12 months postoperatively.
A tertiary referral neurootology clinic.
A total of 119 consecutive patients who had vestibular schwannomas excised between May 1998 and July 2002 and who had completed Hearing Handicap
Inventories preoperatively and at 3 and 12 months postoperatively.
Translabyrinthine excision of a unilateral sporadic vestibular schwannoma
; pre- and postoperative hearing therapy and rehabilitation.
Main Outcome Measures: Hearing Handicap
Sixty-one percent of patients showed no change in their hearing handicap
between preoperative and 3-month postoperative measures. Fifty-eight percent showed no change between preoperative and 12-month postoperative measures. Twenty-five percent of patients had a worsening in their hearing handicap
when comparing preoperative and 12-month postoperative scores, and these patients were those with a better hearing class preoperatively. Seventeen percent of patients showed an improvement in their hearing handicap
over this same time period, and the reasons for this remain unclear. Neither age nor tumor size had an effect on change in hearing handicap
The findings of the current study can be used during preoperative patient counseling. In particular, the clinician is now able to take an informed and positive stance about the hearing handicap
to be expected postoperatively.