Auditory Outcomes After Simultaneous Translabyrinthine Vestibular Schwannoma Resection and Cochlear Implantation: A Prospective Case Series

Cochlear implantation (CI) has emerged as a potential strategy for auditory rehabilitation in patients undergoing vestibular schwannoma (VS) surgery. However, outcomes remain variable, particularly in patients with neurofibromatosis type 2 (NF2). OBJECTIVE: To evaluate auditory and patient-reported outcomes following simultaneous CI during VS resection.

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Simultaneous cochlear implantation during translabyrinthine vestibular schwannoma resection appears feasible as an auditory rehabilitation strategy, but the prospective case series design and likely small sample size mean findings are preliminary; no immediate practice change is warranted until larger controlled data are available.

Combining tumor removal and cochlear implantation in a single operation could spare patients a second surgery and shorten rehabilitation time, which is significant for a population that otherwise faces profound unilateral or bilateral hearing loss.

1. 01Prospective case series evaluating simultaneous translabyrinthine VS resection + cochlear implantation.
2. 02Published in Acta Otolaryngologica (peer-reviewed ENT/audiology journal).
3. 03Addresses auditory rehabilitation in a patient group facing near-certain profound hearing loss.
4. 04Case series design limits generalisability; no control/comparator group reported.
5. 05Findings are hypothesis-generating and should inform future prospective controlled trials.

PMID

42384477

DOI

10.1080/00016489.2026.2692636.

Journal

Acta Otolaryngologica

Publication type

research_article

Evidence level

4

Population

Patients undergoing translabyrinthine vestibular schwannoma resection with simultaneous cochlear implantation

Intervention

Simultaneous translabyrinthine vestibular schwannoma resection and cochlear implantation