Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-25T22:42:00.135Z Has data issue: false hasContentIssue false

Strategy and benefits of acoustic neuroma searching

Published online by Cambridge University Press:  29 June 2007

D. A. Moffat*
Affiliation:
Consultant Otoneurosurgeon, Addenbrooke's Hospital, Cambridge
D. G. Hardy
Affiliation:
Consultant Neurosurgeon, Addenbrooke's Hospital, Cambridge
D. M. Baguley
Affiliation:
Audiolgical Scientist, Addenbrooke's Hospital, Cambridge.
*
Mr D.A. Moffat, B.Sc., M.A., F.R.C.S., Department of Otolaryngology, Addenbrooke's Hospital, Hills Road, Cambridge.

Abstract

Advances in audiological, radiological and microsurgical techniques have enabled otologists to diagnose and excise very small acoustic tumours with a low morbidity and mortality. Is this cost effective?

In an attempt to answer this question, an analysis of 66 cases of surgically treated acoustic neuromas is presented. This represents part of a series of skull base procedures carried out at Addenbrooke's Hospital over the last five years. As a result of this work an investigative protocol is suggested. By studying the relative morbidity of early and late surgical intervention in these cases, and by costing the exercise, the justification for early diagnosis and treatment is presented both in financial and human terms.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Croxson, G. R., Moffat, D. A. and Baguley, D. (1988) Bruns bidirectional nystagmus in cerebellopontine angle tumours. Clinical Otolaryngology, 13: 153157.CrossRefGoogle ScholarPubMed
Dandy, W. E. (1925) An operation for the total removal of cerebellopontine (acoustic) tumours. Surgery, Gynaecology and Obstetrics, 41: 129148.Google Scholar
Eggermont, J., Don, M. and Brackmann, D. (1980) Electrocochleography and auditory brainstem electric responses in pontine angle tumours. Annals of Otology, Rhinology and Laryngology, 89, Supplement 75.CrossRefGoogle Scholar
Hardy, M. and Crowe, S. J. (1936) Early asymptomatic acoustic tumour. Report of six cases. Archives of Surgery, 32, 292301.CrossRefGoogle Scholar
House, W. F. (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope, 71, 13631385.CrossRefGoogle ScholarPubMed
House, W. F. (1964) (Ed) Monograph: Transtemporal bone microsurgical removal of acoustic neuromas. Archives of Otolaryngology, 80: 597756.Google Scholar
Krause, F. (1903) Zur Freilegung der hinteren Felsenbeinflache und des Kleinhirns Beitrage zur Klinischen Chirurgie, 37, 728–764.Google Scholar
Panse, R. (1904) Klinische und Pathologische Mitteilungen IV Ein Gliom des Akustikus. Archiv Für Ohrenheilkunde, 61, 250255.CrossRefGoogle Scholar
Quix, F. H. (1912) Ein Fall von Translabyrintharisch Operiertem Tumor Aousticus. Verhandlungen der Deutschen Otologischen Gesellschaft, 21, 245255.Google Scholar
Reid, A., Birchall, J. P. and Moffat, D. A. (1984) Auditory brainstem responses: masking related changes in wave VI, British Journal of Audiology, 18, 1722.CrossRefGoogle ScholarPubMed
Selters, W. A. and Brackmann, D. E. (1977) Acoustic tumor detection with brainstem electric response audiometry. Archives of Otolaryngology, 103, 181187.CrossRefGoogle Scholar
Smith, M. F. W., Clancy, T.P. and Lang, J. S. (1977) Conservation of hearing in acoustic neurilemmoma excision. Transactions of the American Academy of Ophthalmology and Otolaryngology, 84, 704709.Google ScholarPubMed
Starr, A. and Anchor, J. (1975) Auditory brain stem responses in neurological disease. Archives of Neurology, 32, 761768.CrossRefGoogle ScholarPubMed
Thomsen, J. and Jorgensen, M. B. (1973) Undiagnosed acoustic neuromas. A Presentation of four cases. Archiv für klinische und experimentelle Ohren-Nasen und Kehlkopfheilkunde. 204, 175182.CrossRefGoogle Scholar
Tos, M. and Thomsen, J. (1984) Epidemiology of acoustic neuromas. Journal of Laryngology and Otology, 98, 685692.CrossRefGoogle ScholarPubMed