{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:27:24Z","timestamp":1777289244784,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T00:00:00Z","timestamp":1463529600000},"content-version":"vor","delay-in-days":7839,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1994,12]]},"abstract":"<jats:p>This study reviews the hearing results in 80 consecutive patients who underwent complete removal of histologically proven acoustic neuromas by use of the suboccipital approach. Of these, 56 patients had successful monitoring of cochlear compound action potentials; 20 were not monitored because their surgery predated monitoring; and 4 had unsuccessful monitoring. A significant difference was found in hearing preservation rates between the group in whom compound action potential monitoring was performed and those in whom monitoring was either unavailable or failed (<jats:italic>p<\/jats:italic> = 0.02). Overall, 38% (30 of 80) had preserved hearing. There were 51 patients in whom the click threshold for the cochlear compound action potential was measured during surgery. Twenty\u2010one patients had a threshold shift of 20\u00a0dB or less, 15 (71%) of these retained serviceable hearing (speech reception threshold \u226450\u00a0dB; speech discrimination score \u226560%). Of 12 patients in whom the threshold shift was 30 to 60\u00a0dB, none had serviceable hearing after surgery. The click threshold shift was predictive of a significant postoperative hearing change (<jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p>","DOI":"10.1177\/019459989411100602","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T18:21:15Z","timestamp":1499797275000},"page":"703-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Hearing Preservation in Acoustic Neuroma Surgery: Value of Monitoring Cochlear Nerve Action Potentials"],"prefix":"10.1002","volume":"111","author":[{"given":"Julian M.","family":"Nedzelski","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Toronto Sunnybrook Health Science Center Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte M.","family":"Chiong","sequence":"additional","affiliation":[{"name":"Department of Neurotology University of Toronto Sunnybrook Health Science Center Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene Z.","family":"Cashman","sequence":"additional","affiliation":[{"name":"Department of Audiology University of Toronto Sunnybrook Health Science Center Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan G.","family":"Stanton","sequence":"additional","affiliation":[{"name":"Department of Audiology University of Toronto Sunnybrook Health Science Center Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Rowed","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery University of Toronto Sunnybrook Health Science Center Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,18]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199210000-00010"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948409300203"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-75750-1_19"},{"key":"e_1_2_1_5_1","first-page":"537","volume-title":"Acoustic neuroma","author":"Kveton JF","year":"1992"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-198902000-00004"},{"key":"e_1_2_1_7_1","first-page":"565","volume-title":"Acoustic neuroma","author":"Nedzelski JM","year":"1992"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300607"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200412"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016486209127382"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.63.2.0168"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1988.01860130089021"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300128"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989411100602","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989411100602","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:26:42Z","timestamp":1760956002000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989411100602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,12]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1994,12]]}},"alternative-id":["10.1177\/019459989411100602"],"URL":"https:\/\/doi.org\/10.1177\/019459989411100602","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,12]]},"assertion":[{"value":"1994-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}