Natural History of Hearing Loss in Sporadic Vestibular Schwannoma

Kaitlyn A Brooks; Esther X Vivas

doi:10.1016/j.otc.2023.02.005

Natural History of Hearing Loss in Sporadic Vestibular Schwannoma

Otolaryngol Clin North Am. 2023 Jun;56(3):435-444. doi: 10.1016/j.otc.2023.02.005. Epub 2023 Apr 4.

Authors

Kaitlyn A Brooks¹, Esther X Vivas²

Affiliations

¹ Department of Otolaryngology- Head and Neck Surgery, Emory University Hospital Midtown, 11th Floor, Suite 1135, Medical Office Tower, 550 Peachtree Street NE, Atlanta, GA 30308, USA.
² Department of Otolaryngology- Head and Neck Surgery, Emory University Hospital Midtown, 11th Floor, Suite 1135, Medical Office Tower, 550 Peachtree Street NE, Atlanta, GA 30308, USA. Electronic address: evivas@emory.edu.

PMID: 37024333
DOI: 10.1016/j.otc.2023.02.005

Abstract

Hearing loss is the most common and earliest symptom of sporadic vestibular schwannoma (VS). The most common pattern of hearing loss is asymmetric sensorineural hearing loss. Throughout its natural history, patients with serviceable hearing (SH) maintain SH at 94% to 95% after 1 year, 73% to 77% after 2 years, 56% to 66% after 5 years, and 32% to 44% after 10 years. For patients newly diagnosed with VS, it is likely their hearing will worsen despite small initial tumor size or lack of tumor growth.

Keywords: Asymmetric hearing; Hearing loss; Natural history; Sporadic vestibular schwannoma; Sudden hearing loss.

Publication types

Review

MeSH terms

Deafness*
Hearing
Hearing Loss* / etiology
Hearing Loss, Sensorineural* / diagnosis
Hearing Loss, Sensorineural* / etiology
Humans
Neuroma, Acoustic* / complications
Retrospective Studies