{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:17:52Z","timestamp":1790374672250,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T00:00:00Z","timestamp":1571788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To outline a possible decision\u2010making process for sporadic vestibular schwannoma (VS) with contralateral nonserviceable hearing at diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Diagnosed VS was studied in a tertiary referral center from 1995 to 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight patients were included, with a mean follow\u2010up of 6.9\u2009years (range = 0.5\u201320\u2009years). Ten were stage 1, 10 were stage 2, five were stage 3, and three were stage 4. Ipsilateral hearing levels were A (n = 3), B (n = 10), C (n = 7) and D (n = 8) American Academy of Otolaryngology\u2013Head and Neck Surgery classification. Contralateral hearing levels were C (n = 11) and D (n = 17). Initial VS management included surveillance (n = 12) or surgery (n = 16), and four patients were later treated with surgery (n = 3) or stereotactic irradiation (n = 1). Hearing was improved by hearing aids and\/or etiological treatment (n = 8), restored by contralateral (n = 15) or ipsilateral (n = 4) cochlear implants (CIs), or ipsilateral auditory brainstem implants (ABIs) (n = 3). Finally, 18 CIs were active daily; 14 of them presented high or moderate benefit with mean open\u2010set dissyllabic word scores (WRS) of 58.1% and sentence recognition scores (SRS) of 69.7%, but only one ABI was still active (WRS of 70% and SRS of 87% with lip reading).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When early removal of VS was not necessary, contralateral CI or etiological treatment for hearing loss might be recommended initially. Ipsilateral CI is proposed, whereas VS should be operated on if previous hearing restoration was not successful. ABI should be reserved for the rare cases where a contralateral CI could not be implanted or the cochlear nerve was sectioned during VS removal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:bold><jats:italic>Laryngoscope, 130:E407\u2013E415, 2020<\/jats:italic><\/jats:bold><\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28369","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T19:25:56Z","timestamp":1571858756000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Management of sporadic vestibular schwannoma with contralateral nonserviceable hearing"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2689-5976","authenticated-orcid":false,"given":"Huan","family":"Jia","sequence":"first","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Shanghai Ninth People's Hospital, Affiliated to Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"De Seta","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baptiste","family":"Hochet","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Smail","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5937-8847","authenticated-orcid":false,"given":"Daniele","family":"Bernardeschi","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Shanghai Ninth People's Hospital, Affiliated to Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Mosnier","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Kalamarides","sequence":"additional","affiliation":[{"name":"Neurosurgery Department Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Sterkers","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department Unit of Otology, Auditory Implants and Skull Base Surgery, Greater paris university hospitals, Piti\u00e9\u2010Salp\u00eatri\u00e8re University Group Hospital  Paris France"},{"name":"Inserm \u201cMinimally Invasive Robot\u2010Based Hearing Rehabilitation\u201d Sorbonne University  Paris France"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Shanghai Ninth People's Hospital, Affiliated to Shanghai Jiaotong University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200503000-00023"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0236-2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-004-0771-7"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24056"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31829763a7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941312200204"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3450-3"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1159\/000451003"},{"key":"e_1_2_7_10_1","first-page":"CD009897","article-title":"Stereotactic radiotherapy for vestibular schwannoma","volume":"12","author":"Muzevic D","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1342919"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510038013"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2016.10.002"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx511"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx586"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx512"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2012.12.004"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31818b6238"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70101-X"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-4-431-53942-1_24"},{"key":"e_1_2_7_22_1","first-page":"834","article-title":"Profile of hearing in patients with unilateral acoustic neuromas: the importance of the contralateral ear","volume":"19","author":"Stipkovits EM","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_7_23_1","first-page":"321","article-title":"Delays in the diagnosis of acoustic neuromas","volume":"17","author":"Leeuwen JP","year":"1996","journal-title":"Am J Otol"},{"key":"e_1_2_7_24_1","first-page":"649","article-title":"Hearing restoration in posterior fossa tumors","volume":"19","author":"Shin YJ","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199009000-00007"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200503000-00013"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100128671"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1159\/000108109"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199309000-00006"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989570257-1"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.11.011"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/14670100.2017.1337665"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2016.57.6.1535"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048739"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-199410000-00007"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318254fba5"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.5.JNS101929"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5127-9"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNR.0000000000000984"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129167"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700903"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3801-8"},{"key":"e_1_2_7_43_1","first-page":"93","article-title":"Hearing rehabilitation in neurofibromatosis type 2","volume":"81","author":"North HJD","year":"2018","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001570"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1677491"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902579"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28369","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.28369","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T07:30:54Z","timestamp":1693985454000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.28369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,23]]},"references-count":45,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1002\/lary.28369"],"URL":"https:\/\/doi.org\/10.1002\/lary.28369","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,23]]},"assertion":[{"value":"2019-06-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}