{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:58:54Z","timestamp":1789743534959,"version":"4.0.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T00:00:00Z","timestamp":1562112000000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215119001087_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To examine when cochlear fibrosis occurs following a translabyrinthine approach for vestibular schwannoma resection, and to determine the safest time window for potential cochlear implantation in cases with a preserved cochlear nerve.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001087_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This study retrospectively reviewed the post-operative magnetic resonance imaging scans of patients undergoing a translabyrinthine approach for vestibular schwannoma resection, assessing the fluid signal within the cochlea. Cochleae were graded based on the Isaacson<jats:italic>et al<\/jats:italic>. system (from grade 0 \u2013 no obstruction, to grade 4 \u2013 complete obliteration).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001087_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Thirty-nine patients fulfilled the inclusion criteria. The cochleae showed no evidence of obliteration in: 75 per cent of patients at six months, 38.5 per cent at one year and 27 per cent beyond one year. Most changes happened between 6 and 12 months after vestibular schwannoma resection, with cases of an unobstructed cochlear decreasing dramatically, from 75 per cent to 38.5 per cent, within this time.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001087_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The progress of cochlear obliteration that occurred between 6 and 12 months following vestibular schwannoma resection indicates that the first 6 months provides a safer time window for cochlear patency.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215119001087","type":"journal-article","created":{"date-parts":[[2019,7,3]],"date-time":"2019-07-03T09:01:40Z","timestamp":1562144500000},"page":"560-565","source":"Crossref","is-referenced-by-count":12,"title":["Cochlear patency following translabyrinthine vestibular schwannoma resection: implications for hearing rehabilitation"],"prefix":"10.1017","volume":"133","author":[{"given":"V","family":"Carswell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Crowther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Locke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Taylor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Kontorinis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,7,3]]},"reference":[{"key":"S0022215119001087_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2877-2"},{"key":"S0022215119001087_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31821677aa"},{"key":"S0022215119001087_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.12.029"},{"key":"S0022215119001087_ref5","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1097\/00129492-200606000-00013","article-title":"Cochlear implantation in patients with neurofibromatosis type 2 and bilateral vestibular schwannoma","volume":"27","author":"Lustig","year":"2006","journal-title":"Otol Neurotol"},{"key":"S0022215119001087_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70257-1"},{"key":"S0022215119001087_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(00)00057-2"},{"key":"S0022215119001087_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001105"},{"key":"S0022215119001087_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31827d8aa0"},{"key":"S0022215119001087_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-013-2747-5"},{"key":"S0022215119001087_ref9","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2016.57.6.1535"},{"key":"S0022215119001087_ref2","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1055\/s-0032-1301403","article-title":"Outcome after translabyrinthine surgery for vestibular schwannomas: report on 1244 patients","volume":"73","author":"Springborg","year":"2012","journal-title":"J Neurol Surg B Skull Base"},{"key":"S0022215119001087_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.08.002"},{"key":"S0022215119001087_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3801-8"},{"key":"S0022215119001087_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200107000-00015"},{"key":"S0022215119001087_ref10","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/BF02907702","article-title":"Cochlear implantation in ossified cochlea - Merf experience","volume":"57","author":"Kameswaran","year":"2005","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215119001087_ref6","doi-asserted-by":"publisher","DOI":"10.3171\/2011.5.JNS101929"},{"key":"S0022215119001087_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.01.037"}],"container-title":["The Journal of Laryngology &amp; 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