{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:51:06Z","timestamp":1768567866699,"version":"3.49.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T00:00:00Z","timestamp":1536537600000},"content-version":"unspecified","delay-in-days":9,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118001561_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To determine whether patients within an otolaryngology department presenting with asymmetrical sensorineural hearing loss and\/or unilateral tinnitus can be safely and cost-efficiently screened for acoustic neuroma by audiologists as a first or only point of contact.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001561_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>A prospective case series and cost analysis were conducted at a tertiary referral centre. Between April 2013 and March 2017, 1126 adult patients presented to the audiology department with asymmetrical sensorineural hearing loss and\/or unilateral tinnitus. All were screened for acoustic neuroma with magnetic resonance imaging, based on pre-determined criteria. The main outcome measure was the presence of acoustic neuroma or other pathology on magnetic resonance imaging.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001561_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Twenty-five patients (2.22 per cent) were found to have an acoustic neuroma (size range: 3\u201320 mm) and were referred to the otolaryngologist for further assessment. The remaining patients were appropriately managed and discharged by the audiologists without ENT input. This resulted in an overall cost saving of \u00a3164 850.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001561_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Patients with asymmetrical sensorineural hearing loss and\/or unilateral tinnitus can be safely screened for acoustic neuroma and independently managed by audiologists as a first or only point of contact, resulting in considerable departmental cost savings.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118001561","type":"journal-article","created":{"date-parts":[[2018,9,10]],"date-time":"2018-09-10T07:01:15Z","timestamp":1536562875000},"page":"786-789","source":"Crossref","is-referenced-by-count":8,"title":["Audiologist-led screening of acoustic neuromas in patients with asymmetrical sensorineural hearing loss and\/or unilateral tinnitus: our experience in 1126 patients"],"prefix":"10.1017","volume":"132","author":[{"given":"Y","family":"Abbas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Trinidade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,9,10]]},"reference":[{"key":"S0022215118001561_ref3","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1258\/002221504323086480","article-title":"Magnetic resonance imaging screening for vestibular schwannoma: analysis of published protocols","volume":"11","author":"Obholzer","year":"2004","journal-title":"J Laryngol Otol"},{"key":"S0022215118001561_ref10","unstructured":"British Academy of Audiology Guidelines for Referral to Audiology of Adults with Hearing Difficulty. 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