OBJECTIVES To share results and recommendations for management of penetrating cochlear injury. METHODS A patient underwent repair of a penetrating cochlear injury after a projectile led to a traumatic cochleostomy with a narrow miss of the facial nerve and intracranial carotid artery. RESULTS Postoperatively, the patient's audiogram demonstrated a pure tone average of 47.5 dB for air conduc...

OBJECTIVE Compare complications of vestibular schwannoma (VS) resection by surgical approach. STUDY DESIGN Retrospective cohort. SETTING The 2008 to 2013 American College of Surgeons-National Surgical Quality Improvement Program. PATIENTS Adult patients with VS resection by an otolaryngologist. INTERVENTIONS VS resection via transtemporal (TT), retrosigmoid (RS), or middle cranial fossa...

Long-term hearing was examined in 200 patients operated on during 1976-2000 with removal of acoustic neuroma with a retrosigmoid approach and hearing preservation technique. Ninety-four cases preserved hearing, and 91 cases were followed-up for at least 6 years (range 6 to 21 years). Hearing was measured with the PTA 0.5 KHz to 4 KHz and the SDS, and followed the guidelines of the American Acad...

OBJECT Management recommendations for patients with smaller-volume or newly diagnosed vestibular schwannomas (< 4 cm(3)) need to be based on an understanding of the anticipated natural history of the tumor and the side effects it produces. The natural history can then be compared with the risks and benefits of therapeutic intervention using a minimally invasive strategy such as stereotactic rad...

OBJECTIVES/HYPOTHESIS The murine model has been used extensively to model and study human deafness. Technical difficulty in the surgical approach due to the small size of the tympanic bulla and a robust stapedial artery has limited its application for studies of cochlear implantation and electrical stimulation. We describe a minimally traumatic, stapedial artery-sparing approach to the round wi...