Hearing preservation after removal of acoustic neurinoma

Between January 1, 1978, and July 1, 1983, 149 patients underwent acoustic neurinoma removal (151 procedures). Of these, 119 ears (118 patients) had had some degree of hearing on the affected side preoperatively, and in all of them the tumors had been removed by a posterior cranial fossa approach. Fourteen (12%) had measurable hearing preserved postoperatively--serviceable in eight ears and poor in six. The patients with preserved hearing had had their hearing loss for a shorter period, slightly better preoperative hearing levels, and a smaller tumor. The complications, morbidity, and mortality in this group were comparable to those in other series. It is concluded that preservation of hearing is a worthwhile goal that can be achieved without increased risk.