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Changes in tinnitus after vestibular schwannoma surgery
Jing-Jing Wang1, Yan-Mei Feng1, Hui Wang1
1Otolaryngology Institute, Affiliated Sixth People's Hospital, Shanghai Jiao Tong University, 600 Yishan Road, Shanghai, 200233, China.
Scientific Reports
|February 12, 2019
Summary
Vestibular schwannoma (VS) surgery significantly reduced tinnitus symptoms in most patients. Postoperative improvements were observed in tinnitus handicap and severity, with low-frequency tinnitus showing greater improvement.
Area of Science:
- Neurosurgery
- Otolaryngology
- Audiology
Background:
- Vestibular schwannoma (VS) is a tumor affecting the auditory and vestibular nerves.
- Tinnitus is a common symptom experienced by patients with VS.
- The impact of VS surgery on tinnitus requires further investigation.
Purpose of the Study:
- To prospectively evaluate changes in tinnitus following translabyrinthine microsurgery (TLM) for VS.
- To assess the impact of TLM on tinnitus severity and patient-reported handicap.
Main Methods:
- Prospective study of 41 VS patients undergoing TLM.
- Pre- and postoperative assessment using Tinnitus Handicap Inventory (THI) and Visual Analog Scale (VAS).
- Analysis of tinnitus changes based on frequency and preoperative severity.
Main Results:
- Tinnitus improved significantly after TLM in 75.6% of patients.
- Significant reductions in THI and VAS scores were observed post-surgery.
- Low-frequency tinnitus showed greater improvement than mid-/high-frequency tinnitus.
Conclusions:
- Translabyrinthine microsurgery can lead to significant tinnitus improvement in VS patients.
- Preoperative tinnitus characteristics, such as frequency and loudness, may influence surgical outcomes.
- TLM is an effective treatment option for managing tinnitus associated with VS.
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