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Moisés A. Arriaga, MD; Douglas A. Chen, MD

Arch Otolaryngol Head Neck Surg. 2001;127:543-546.

Objective  To determine if facial function is worse after hearing preservation acoustic neuroma surgery (retrosigmoid and middle fossa) than in translabyrinthine surgery.

Design  Retrospective medical record review.

Setting  Private neuro-otology subspecialty practice of patients operated on in a tertiary care hospital.

Patients  This study evaluated 315 consecutive acoustic neuroma surgical procedures between April 1989 and July 1998. A total of 209 translabyrinthine procedures and 106 hearing preservation surgical procedures were performed. The hearing preservation procedures were equally divided between retrosigmoid (n = 48) and middle fossa (n = 58) procedures.

Methods  Medical records were reviewed and tabulated for tumor size, surgical approach, and House-Brackmann facial function grade at short-, intermediate-, and long-term intervals.

Results  Postoperative facial function in hearing preservation surgical procedures at short- and long-term follow-up was not worse than facial function after translabyrinthine surgical procedures in comparably sized tumors.

Conclusion  Concern about postoperative facial function should not be the deciding factor in selecting hearing preservation vs nonhearing preservation acoustic neuroma surgery.

From Pittsburgh Ear Associates' Hearing and Balance Center, Allegheny General Hospital, Pittsburgh, Pa.

Corresponding author and reprints: Moisés A. Arriaga, MD, Pittsburgh Ear Associates, 420 E North Ave, Suite 402, Pittsburgh, PA 15212.

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