{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:10:41Z","timestamp":1760983841227},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,5]]},"abstract":"\nObject<\/jats:title>\nNo extant literature documents the analysis of patient perceptions of hearing as a corollary to objective audiometric measures in patients with vestibular schwannoma (VS), or acoustic neuroma. Therefore, using objective audiometric data and patient perceptions of hearing function as outlined on a questionnaire, the authors evaluated the hearing of patients who underwent VS resection.<\/jats:p><\/jats:sec>\n\nMethods<\/jats:title>\nThis investigation involved a retrospective review of 176 patients who had undergone VS resections in which hearing preservation was a goal. Both pre- and postoperative audiometry, expressed as a speech discrimination score (SDS) and pure tone threshold average (PTA), were performed, and the results were analyzed. Intraoperative auditory brainstem responses were also recorded. Eighty-seven of the patients (49.4%) completed a postoperative questionnaire designed to assess hearing function in a variety of social and auditory situations. Multiple linear regression analyses were completed to compare available audiometric results with questionnaire responses for each patient.<\/jats:p><\/jats:sec>\n\nResults<\/jats:title>\nOne hundred forty-two patients (80.7%) had PTA and SDS audiometric data pertaining to the surgically treated ear; 94 of these patients (66.2%) had measurable postoperative hearing, as defined by a PTA < 120 dB or SD > 0%. Eighty-seven patients (49.4%) completed the retrospective questionnaire, and 74 of them had complete audiometric data and thus were included in a comparative analysis. Questionnaire data showed major postoperative subjective hearing decrements, even among patients with the same pre- and postoperative objective audiometric hearing status. Moreover, the subscore reflecting hearing while exposed to background noise, or the \u201ccocktail party effect,\u201d characterized the most significant patient-perceived hearing deficit following VS resection.<\/jats:p><\/jats:sec>\n\nConclusions<\/jats:title>\nThe authors' analysis of a patient-perceived hearing questionnaire showed that hearing during exposure to background noise, or the cocktail party effect, represents a significant postoperative hearing deficit and that patient perception of this deficit has a strong relation with audiometric data. Furthermore, questionnaire responses revealed a significant disparity between subjective hearing function and standard audiometrics such that even with similar levels of audiometric data, subjective measures of hearing, especially the cocktail party effect, decreased postoperatively. The authors posit that the incorporation of patient-perceived hearing function evaluation along with standard audiometry is an illustrative means of identifying subjective hearing deficits after VS resection and may ultimately aid in specific and subsequent treatment for these patients.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2010.11.jns091752","type":"journal-article","created":{"date-parts":[[2010,12,17]],"date-time":"2010-12-17T13:16:01Z","timestamp":1292591761000},"page":"1232-1240","source":"Crossref","is-referenced-by-count":7,"title":["Hearing preservation in the resection of vestibular schwannomas: patterns of hearing preservation and patient-assessed hearing function"],"prefix":"10.3171","volume":"114","author":[{"given":"Joshua J.","family":"Wind","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, George Washington University, Washington, DC;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Leonetti","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J. M.","family":"Raffin","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, and"},{"name":"Audiology, Loyola University Medical Center, Maywood, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc T.","family":"Pisansky","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Herr","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin D.","family":"Triemstra","sequence":"additional","affiliation":[{"name":"Stritch School of Medicine; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas E.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-jns091752","series-title":"J Neurosurg","first-page":"643","article-title":"Resection of large vestibular schwannomas: facial nerve preservation in the context of surgical approach and patient-assessed outcome","volume":"102","author":"Anderson","year":"2005"},{"issue":"Suppl 2","key":"b2-jns091752","series-title":"Int J Audiol","first-page":"2S17","article-title":"Negative consequences of uncorrected hearing loss\u2014a review","volume":"42","author":"Arlinger","year":"2003"},{"key":"b3-jns091752","series-title":"Otolaryngol Head Neck Surg","first-page":"437","article-title":"The transmastoid retrolabyrinthine approach in vestibular schwannoma surgery","volume":"127","author":"Bento","year":"2002"},{"key":"b4-jns091752","series-title":"J Neurosurg","first-page":"6","article-title":"Long-term hearing preservation after surgery for vestibular 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