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.

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