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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 11. no 1. March 2012  

 Review articles
Prognostic factors of preserving hearing in patients operated for cerebellopontine angle tumour
Krzysztof Morawski, Aleksandra Hryciuk, Robert Morawski, Kazimierz Niemczyk

Progress in audiological and imaging techniques has improved
the diagnosis of cerebello-pontine tumours (CPAT) and enabled
the discovery of tumour at the stage when relatively good useful
level of hearing is preserved. Thus the surgeon, in addition to
radical removal of tumour must pay particular attention and
use “conservation-friendly” operative techniques that enable
minimising both the hazard and the degree of intraoperative
damage to the hearing organ. The authors describe various
audiological classification methods for evaluation of hearing
ability in CPAT patients and preoperative criteria for hearing
preservation. Principles of deciding about the choice of
operative access to CPAT are reported. Particular attention
is paid to intraoperative monitoring of hearing and prognostic
factors including the size of tumour that well correspond
to postoperative hearing preservation results. Preoperative
analysis of those factors makes it possible to minimize the
adverse effects and preserve useful post-operative hearing
ability, thereby enabling the patient to resume his/her regular
family, social, and professional life activities.

keywords: guz okolicy kąta mostowo-móżdżkowego, czynniki prognostyczne zachowania słuchu,cerebello-pontine angle tumour, acoustic tumour, hearing preservation predictive factors

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