T. Wesarg

Einseitige Taubheit und Cochlear-implant-Versorgung

Cochlear implantation (CI) is a new form of treatment in the rehabilitation of single-sided deafness. The patient requires thorough initial examination and a full explanation of alternative treatment options prior to determining the indication for CI treatment. To date, we have treated 28 patients with CI, of whom data are available for 11 after 12 months. We examined speech comprehension in background noise and localisation ability 12 months after CI implantation compared to conventional CROS (contralateral routing of signal) hearing aids, BAHA (bone-anchored hearing aid) and hearing in untreated patients. In addition, we determined the subjective handicap (HHIE, hearing handicap inventory for the elderly) and the subjective success (IOI-HA, international outcome inventory for hearing aids; SSQ, spatial and qualities of hearing scale) of each treatment option. After 12 months experience, the results show a significantly better localisation ability and an improvement in speech comprehension in background noise with CI than with the other treatment options. Subjective results also show a clear benefit with CI. Careful patient selection is a decisive factor for successful treatment of this patient group. Under these conditions, CI is a treatment option with which significant improvement in speech comprehension and localization ability in single-sided deafness is possible.ZusammenfassungDie Versorgung mit einem Cochlear implant (CI) stellt eine neue Behandlungsform in der Rehabilitation der einseitigen Taubheit dar. Vor Indikationsstellung zur CI-Versorgung sind die Aufklärung der Patienten über die Rehabilitationsalternativen und eine gründliche Voruntersuchung notwendig. Bislang haben wir 28 Patienten mit einem CI versorgt. Das Sprachverständnis im Störgeräusch und das Lokalisationsvermögen waren bei 11 Patienten 12xa0Monate nach CI-Implantation im Vergleich zu konventionellen CROS-Hörgeräten („contralateral routing of signal“), dem BAHA („bone-anchored hearing aid“) und der unversorgten Situation signifikant besser. Zusätzlich ermittelten wir das subjektive Handicap („Hearing Handicap Inventory for the Elderly“, HHIE) und den subjektiven Erfolg („International Outcome Inventory for Hearing Aids“, IOI-HA; „Spatial and Qualities of Hearing Scale“, SSQ) nach jeder Versorgungsoption, auch hierbei zeigte sich ein deutlicher Nutzen durch das CI. Die sorgfältige Patientenselektion ist ein entscheidender Faktor für die erfolgreiche Therapie. Dann ist mit einem CI bei einseitiger Ertaubung eine signifikante Verbesserung des Sprachverständnisses und des Lokalisationsvermögens möglich.AbstractCochlear implantation (CI) is a new form of treatment in the rehabilitation of single-sided deafness. The patient requires thorough initial examination and a full explanation of alternative treatment options prior to determining the indication for CI treatment. To date, we have treated 28 patients with CI, of whom data are available for 11 after 12xa0months. We examined speech comprehension in background noise and localisation ability 12xa0months after CI implantation compared to conventional CROS (contralateral routing of signal) hearing aids, BAHA (bone-anchored hearing aid) and hearing in untreated patients. In addition, we determined the subjective handicap (HHIE, hearing handicap inventory for the elderly) and the subjective success (IOI-HA, international outcome inventory for hearing aids; SSQ, spatial and qualities of hearing scale) of each treatment option. After 12xa0months’ experience, the results show a significantly better localisation ability and an improvement in speech comprehension in background noise with CI than with the other treatment options. Subjective results also show a clear benefit with CI. Careful patient selection is a decisive factor for successful treatment of this patient group. Under these conditions, CI is a treatment option with which significant improvement in speech comprehension and localization ability in single-sided deafness is possible.

Remote fitting in Nucleus cochlear implant recipients

Abstract Conclusion: Remote programming is a viable alternative to face-to-face programming. The procedure can be regarded as safe, time and cost saving, and clinically feasible. Objectives: The aim of this study was to determine the suitability of commercially available video conferencing technology and remote control software for remote programming of sound processors in Nucleus cochlear implant recipients by assessing the feasibility, efficiency, risks, and benefits of remote programming compared to face-to-face programming. Methods: This was a randomized, prospective study. Seventy Nucleus implant recipients were recruited for a random sequence comparison of one remote and one local programming session each. The time required for local or remote programming was measured and resulting MAP T and C levels were compared. The recipient provided feedback on the local and remote programming session. The audiologist and monitoring clinician were asked for their feedback on remote programming. Results: Remote programming sessions were successfully finished for 69 recipients. No significant differences between T and C levels obtained by local and remote programming were found. The audiologists and monitoring clinicians agreed that the remote programming system provided an acceptable level of performance after most sessions. More than 50 participating recipients considered remote programming an efficient alternative to face-to-face-programming.

[Unilateral deafness and cochlear implantation: audiological diagnostic evaluation and outcomes].

Cochlear implantation (CI) is a new form of treatment in the rehabilitation of single-sided deafness. The patient requires thorough initial examination and a full explanation of alternative treatment options prior to determining the indication for CI treatment. To date, we have treated 28 patients with CI, of whom data are available for 11 after 12 months. We examined speech comprehension in background noise and localisation ability 12 months after CI implantation compared to conventional CROS (contralateral routing of signal) hearing aids, BAHA (bone-anchored hearing aid) and hearing in untreated patients. In addition, we determined the subjective handicap (HHIE, hearing handicap inventory for the elderly) and the subjective success (IOI-HA, international outcome inventory for hearing aids; SSQ, spatial and qualities of hearing scale) of each treatment option. After 12 months experience, the results show a significantly better localisation ability and an improvement in speech comprehension in background noise with CI than with the other treatment options. Subjective results also show a clear benefit with CI. Careful patient selection is a decisive factor for successful treatment of this patient group. Under these conditions, CI is a treatment option with which significant improvement in speech comprehension and localization ability in single-sided deafness is possible.ZusammenfassungDie Versorgung mit einem Cochlear implant (CI) stellt eine neue Behandlungsform in der Rehabilitation der einseitigen Taubheit dar. Vor Indikationsstellung zur CI-Versorgung sind die Aufklärung der Patienten über die Rehabilitationsalternativen und eine gründliche Voruntersuchung notwendig. Bislang haben wir 28 Patienten mit einem CI versorgt. Das Sprachverständnis im Störgeräusch und das Lokalisationsvermögen waren bei 11 Patienten 12xa0Monate nach CI-Implantation im Vergleich zu konventionellen CROS-Hörgeräten („contralateral routing of signal“), dem BAHA („bone-anchored hearing aid“) und der unversorgten Situation signifikant besser. Zusätzlich ermittelten wir das subjektive Handicap („Hearing Handicap Inventory for the Elderly“, HHIE) und den subjektiven Erfolg („International Outcome Inventory for Hearing Aids“, IOI-HA; „Spatial and Qualities of Hearing Scale“, SSQ) nach jeder Versorgungsoption, auch hierbei zeigte sich ein deutlicher Nutzen durch das CI. Die sorgfältige Patientenselektion ist ein entscheidender Faktor für die erfolgreiche Therapie. Dann ist mit einem CI bei einseitiger Ertaubung eine signifikante Verbesserung des Sprachverständnisses und des Lokalisationsvermögens möglich.AbstractCochlear implantation (CI) is a new form of treatment in the rehabilitation of single-sided deafness. The patient requires thorough initial examination and a full explanation of alternative treatment options prior to determining the indication for CI treatment. To date, we have treated 28 patients with CI, of whom data are available for 11 after 12xa0months. We examined speech comprehension in background noise and localisation ability 12xa0months after CI implantation compared to conventional CROS (contralateral routing of signal) hearing aids, BAHA (bone-anchored hearing aid) and hearing in untreated patients. In addition, we determined the subjective handicap (HHIE, hearing handicap inventory for the elderly) and the subjective success (IOI-HA, international outcome inventory for hearing aids; SSQ, spatial and qualities of hearing scale) of each treatment option. After 12xa0months’ experience, the results show a significantly better localisation ability and an improvement in speech comprehension in background noise with CI than with the other treatment options. Subjective results also show a clear benefit with CI. Careful patient selection is a decisive factor for successful treatment of this patient group. Under these conditions, CI is a treatment option with which significant improvement in speech comprehension and localization ability in single-sided deafness is possible.

Cochlear implantation for hearing rehabilitation in single-sided deafness after translabyrinthine vestibular schwannoma surgery

The aim of the study was to investigate the option of cochlear implantation (CI) in resultant single-sided deafness associated with unilateral translabyrinthine resection of sporadic vestibular schwannoma (VS). This is a retrospective study performed at Tertiary Care Academic Centre. Following extensive counselling regarding the potential for delayed CI, translabyrinthine VS resection was performed and an intracochlear placeholder was inserted to allow later CI in 11 patients who showed intraoperative microscopic confirmation of preserved cochlear nerve anatomy. Follow-up magnetic resonance imaging (MRI) and promontory testing were performed 1xa0year after surgery to confirm the absence of VS recurrence and viable cochlea. Confirmed CI candidates underwent a second procedure where the placeholder was removed and the CI inserted (4/11). Preimplant unaided and CI-aided evaluations at 12 and 24xa0months were performed for subjective and objective hearing outcomes. Tinnitus suppression was also measured for implant on and off effects. Available audiological data for three patients demonstrated significant hearing benefits for ‘speech from deaf/implanted side, noise from the normal-hearing side’ in all three patients and localisation ability improved for 2/3 patients. Subjective findings presented similar results. For the two patients with preimplant tinnitus, complete suppression occurred during active CI. CI is beneficial for hearing rehabilitation and tinnitus reduction in SSD patients with remaining viable cochlear nerve after translabyrinthine VS surgery. Counselling on the risks of intracochlear placeholder insertion and the inherent limitations for ongoing MRI investigations of VS recurrence is essential.

Cochlear implant treatment of patients with single-sided deafness or asymmetric hearing loss

BackgroundThe rehabilitation of patients with single-sided deafness (SSD) or asymmetric hearing loss can be achieved with conventional (Bi)CROS hearing aids ((Bi)CROS-HA, (Bi)CROS), bone conduction devices (BCI) or with cochlear implants (CI). Unfortunately, only small case series have been published on the treatment outcomes in SSD patients after CI surgery and there are only axa0few comparative studies evaluating rehabilitation outcomes.ObjectiveThe aim of this study was to provide evidence of successful treatment of SSD and asymmetric hearing loss with axa0CI compared to the untreated, monaural hearing condition and the therapy options of BCI and (Bi)CROS in axa0large number of patients.Materials and methodsIn axa0single-centre study, 45xa0patients with SSD and 40xa0patients with asymmetric hearing loss were treated with axa0CI after careful evaluation for CI candidacy. Monaural speech comprehension in noise and localisation ability were examined with (Bi)CROS-HA and BCI devices (on axa0test rod) both preoperatively and at 12xa0months after CI switch-on. At the same intervals, subjective evaluation of hearing ability was conducted using the Speech, Spatial and Qualities of Hearing Scale (SSQ).Results and discussionThis report presents the first evidence of successful binaural rehabilitation with CI in axa0relatively large patient cohort and the advantages over (Bi)CROS and BCI in smaller subgroups, thus confirming the indication for CI treatment. Moreover, patients with long-term acquired deafness (>10xa0years) show a benefit from the CI comparable to that observed in patients with shorter-term deafness.

Langzeitergebnisse nach Kochleaimplantatversorgung bei Kindern

ZusammenfassungDie Versorgung von tauben und ertaubten Kindern mit einem Kochleaimplantat hat sich seit Jahren etabliert. Dennoch liegen im deutschsprachigen Raum keine aussagkräftigen Langzeitergebnisse von einer repräsentativ großen Anzahl Kinder vor. Diese sind jedoch notwendig, um Prognosen über die Entwicklung und Ergebnisse von Kindern mit unterschiedlichem Implantationsalter zu treffen. Retrospektiv haben wir die Daten von 156 Kindern mit unterschiedlichem Implantationsalter ausgewertet, bei denen eine minimale Nachbeobachtungszeit von 5xa0Jahren und sprachaudiologische Daten (Oldenburger Satztest, Freiburger Einsilber/Zahlen) vorlagen. Unsere Daten bestätigen die Vermutung, dass die früh mit einem Implantat versorgten Kinder (<2xa0Jahre) die besten Sprachverständnisergebnisse aufweisen. Daher kann die Forderung nach einem suffizienten universellen Neugeborenen-Hörscreening nachdrücklich unterstützt werden, damit nach erfolgter Hörgerätetestphase die Implantation im 1.xa0Lebensjahr angestrebt werden kann. Die chirurgischen, anästhesiologischen und Rehabilitationsvoraussetzungen sowie die Erfahrung müssen gegeben sein, um die Operation von Säuglingen und Kleinkindern durchführen zu können.AbstractThe treatment of deaf and hearing-impaired children with cochlear implants has been established for several years. Nonetheless, no long-term results exist for studies of a representatively large number of children in the German-speaking area. These are necessary in order to formulate prognoses regarding the development and results of children undergoing implantation at various ages. In a retrospective study, we assessed the data of 156 children with various implantation ages and a minimum follow-up period of 5 years for whom speech and audiological data (Oldenburg Sentence Test, Freiburg words/numbers test) were available. Our findings confirm the assumption that early-implanted children (<2 years) achieve the best speech-comprehension results. For this reason, support for a sufficient universal neonate hearing screen should be emphatically given so that implantation, after a hearing test phase, can be targeted in the first year of life. The surgical, anesthesiological, and rehabilitation conditions must be fulfilled, and surgical experience is required for operation on infants and small children.The treatment of deaf and hearing-impaired children with cochlear implants has been established for several years. Nonetheless, no long-term results exist for studies of a representatively large number of children in the German-speaking area. These are necessary in order to formulate prognoses regarding the development and results of children undergoing implantation at various ages. In a retrospective study, we assessed the data of 156 children with various implantation ages and a minimum follow-up period of 5 years for whom speech and audiological data (Oldenburg Sentence Test, Freiburg words/numbers test) were available. Our findings confirm the assumption that early-implanted children (<2 years) achieve the best speech-comprehension results. For this reason, support for a sufficient universal neonate hearing screen should be emphatically given so that implantation, after a hearing test phase, can be targeted in the first year of life. The surgical, anesthesiological, and rehabilitation conditions must be fulfilled, and surgical experience is required for operation on infants and small children.

[Long-term functional outcomes of cochlear implants in children].

ZusammenfassungDie Versorgung von tauben und ertaubten Kindern mit einem Kochleaimplantat hat sich seit Jahren etabliert. Dennoch liegen im deutschsprachigen Raum keine aussagkräftigen Langzeitergebnisse von einer repräsentativ großen Anzahl Kinder vor. Diese sind jedoch notwendig, um Prognosen über die Entwicklung und Ergebnisse von Kindern mit unterschiedlichem Implantationsalter zu treffen. Retrospektiv haben wir die Daten von 156 Kindern mit unterschiedlichem Implantationsalter ausgewertet, bei denen eine minimale Nachbeobachtungszeit von 5xa0Jahren und sprachaudiologische Daten (Oldenburger Satztest, Freiburger Einsilber/Zahlen) vorlagen. Unsere Daten bestätigen die Vermutung, dass die früh mit einem Implantat versorgten Kinder (<2xa0Jahre) die besten Sprachverständnisergebnisse aufweisen. Daher kann die Forderung nach einem suffizienten universellen Neugeborenen-Hörscreening nachdrücklich unterstützt werden, damit nach erfolgter Hörgerätetestphase die Implantation im 1.xa0Lebensjahr angestrebt werden kann. Die chirurgischen, anästhesiologischen und Rehabilitationsvoraussetzungen sowie die Erfahrung müssen gegeben sein, um die Operation von Säuglingen und Kleinkindern durchführen zu können.AbstractThe treatment of deaf and hearing-impaired children with cochlear implants has been established for several years. Nonetheless, no long-term results exist for studies of a representatively large number of children in the German-speaking area. These are necessary in order to formulate prognoses regarding the development and results of children undergoing implantation at various ages. In a retrospective study, we assessed the data of 156 children with various implantation ages and a minimum follow-up period of 5 years for whom speech and audiological data (Oldenburg Sentence Test, Freiburg words/numbers test) were available. Our findings confirm the assumption that early-implanted children (<2 years) achieve the best speech-comprehension results. For this reason, support for a sufficient universal neonate hearing screen should be emphatically given so that implantation, after a hearing test phase, can be targeted in the first year of life. The surgical, anesthesiological, and rehabilitation conditions must be fulfilled, and surgical experience is required for operation on infants and small children.The treatment of deaf and hearing-impaired children with cochlear implants has been established for several years. Nonetheless, no long-term results exist for studies of a representatively large number of children in the German-speaking area. These are necessary in order to formulate prognoses regarding the development and results of children undergoing implantation at various ages. In a retrospective study, we assessed the data of 156 children with various implantation ages and a minimum follow-up period of 5 years for whom speech and audiological data (Oldenburg Sentence Test, Freiburg words/numbers test) were available. Our findings confirm the assumption that early-implanted children (<2 years) achieve the best speech-comprehension results. For this reason, support for a sufficient universal neonate hearing screen should be emphatically given so that implantation, after a hearing test phase, can be targeted in the first year of life. The surgical, anesthesiological, and rehabilitation conditions must be fulfilled, and surgical experience is required for operation on infants and small children.

Therapie und Hörrehabilitation intralabyrinthärer Schwannome mittels Cochlear Implant@@@Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants – German Version

ZusammenfassungHintergrundDie Therapie der intralabyrinthären Schwannome besteht bisher in erster Linie in einem abwartenden Verhalten ohne Berücksichtigung der auditorischen Rehabilitation. Über die Versorgung mit einem Cochlear Implant (CI) liegen bisher nur wenige Einzelfallberichte vor.Ziel der ArbeitZiel war die Beurteilung der Ergebnisse der auditorischen Rehabilitation nach CI-Versorgung an einer Fallserie.Material und MethodenIn einer retrospektiven Analyse wurden die demographischen Befunde, Symptomatik und Ergebnisse der operativen Therapie bei 8xa0Patienten erhoben.ErgebnisseBei allen Patienten bestand präoperativ eine an Taubheit grenzende Schwerhörigkeit und Tinnitus. Episodischer Schwindel wurde von 3xa0Patienten berichtet. Vier Patienten wiesen ein intracochleäres und 3xa0Patienten ein intravestibuläres Schwannom auf, und bei einer Patientin fand sich ein transmodioläres Schwannom. Insgesamt 6xa0Patienten erhielten ein CI. Die Ergebnisse der auditorischen Rehabilitation sind positiv mit einem offenen Sprachverstehen.SchlussfolgerungDie CI-Versorgung nach Resektion eines intralabyrinthären Schwannoms ist eine erfolgversprechende Option zur auditorischen Rehabilitation auch bei einseitiger Schwerhörigkeit. Sie stellt im Gegensatz zum abwartenden Wait-and-scan-Verfahren einen neuen therapeutischen Ansatz dar. Lediglich bei noch nutzbarem Hörvermögen erscheint ein abwartendes Verhalten gerechtfertigt.AbstractBackgroundTo date, the therapy of intralabyrinthine schwannoma consists mainly of axa0wait-and-see approach, completely ignoring auditory rehabilitation. Only axa0few single-case reports are as yet available on treatment with cochlear implants (CI).Aim of the studyThis study aimed to assess the results of auditory rehabilitation after treatment with CI in axa0series of cases.Materials and methodsThe demographic findings, symptoms, and results of surgical therapy in 8xa0patients were evaluated in axa0retrospective analysis.ResultsPrior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3xa0patients. Among the patients, 4xa0had an intracochlear and 3xa0an intravestibular schwannoma, and axa0transmodiolar schwannoma was found in 1xa0patient. Axa0total of 6xa0patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.DiscussionCI treatment following resection of an intralabyrinthine schwannoma is axa0promising option for auditory rehabilitation, even in single-sided deafness. This is axa0new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.BACKGROUNDnTo date, the therapy of intralabyrinthine schwannoma consists mainly of axa0wait-and-see approach, completely ignoring auditory rehabilitation. Only axa0few single-case reports are as yet available on treatment with cochlear implants (CI).nnnAIM OF THE STUDYnThis study aimed to assess the results of auditory rehabilitation after treatment with CI in axa0series of cases.nnnMATERIALS AND METHODSnThe demographic findings, symptoms, and results of surgical therapy in 8xa0patients were evaluated in axa0retrospective analysis.nnnRESULTSnPrior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3xa0patients. Among the patients, 4xa0had an intracochlear and 3xa0an intravestibular schwannoma, and axa0transmodiolar schwannoma was found in 1xa0patient. Axa0total of 6xa0patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.nnnDISCUSSIONnCI treatment following resection of an intralabyrinthine schwannoma is axa0promising option for auditory rehabilitation, even in single-sided deafness. This is axa0new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.

Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants

BackgroundTo date, the therapy of intralabyrinthine schwannoma consists mainly of axa0wait-and-see approach, completely ignoring auditory rehabilitation. Only axa0few single-case reports are as yet available on treatment with cochlear implants (CI).Aim of the studyThis study aimed to assess the results of auditory rehabilitation after treatment with CI in axa0series of cases.Materials and methodsThe demographic findings, symptoms, and results of surgical therapy in 8xa0patients were evaluated in axa0retrospective analysis.ResultsPrior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3xa0patients. Among the patients, 4xa0had an intracochlear and 3xa0an intravestibular schwannoma, and axa0transmodiolar schwannoma was found in 1xa0patient. Axa0total of 6xa0patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.ConclusionCI treatment following resection of an intralabyrinthine schwannoma is axa0promising option for auditory rehabilitation, even in single-sided deafness. This is axa0new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.

Treatment and auditory rehabilitation of intralabyrinthine schwannoma by means of cochlear implants : English version.

ZusammenfassungHintergrundDie Therapie der intralabyrinthären Schwannome besteht bisher in erster Linie in einem abwartenden Verhalten ohne Berücksichtigung der auditorischen Rehabilitation. Über die Versorgung mit einem Cochlear Implant (CI) liegen bisher nur wenige Einzelfallberichte vor.Ziel der ArbeitZiel war die Beurteilung der Ergebnisse der auditorischen Rehabilitation nach CI-Versorgung an einer Fallserie.Material und MethodenIn einer retrospektiven Analyse wurden die demographischen Befunde, Symptomatik und Ergebnisse der operativen Therapie bei 8xa0Patienten erhoben.ErgebnisseBei allen Patienten bestand präoperativ eine an Taubheit grenzende Schwerhörigkeit und Tinnitus. Episodischer Schwindel wurde von 3xa0Patienten berichtet. Vier Patienten wiesen ein intracochleäres und 3xa0Patienten ein intravestibuläres Schwannom auf, und bei einer Patientin fand sich ein transmodioläres Schwannom. Insgesamt 6xa0Patienten erhielten ein CI. Die Ergebnisse der auditorischen Rehabilitation sind positiv mit einem offenen Sprachverstehen.SchlussfolgerungDie CI-Versorgung nach Resektion eines intralabyrinthären Schwannoms ist eine erfolgversprechende Option zur auditorischen Rehabilitation auch bei einseitiger Schwerhörigkeit. Sie stellt im Gegensatz zum abwartenden Wait-and-scan-Verfahren einen neuen therapeutischen Ansatz dar. Lediglich bei noch nutzbarem Hörvermögen erscheint ein abwartendes Verhalten gerechtfertigt.AbstractBackgroundTo date, the therapy of intralabyrinthine schwannoma consists mainly of axa0wait-and-see approach, completely ignoring auditory rehabilitation. Only axa0few single-case reports are as yet available on treatment with cochlear implants (CI).Aim of the studyThis study aimed to assess the results of auditory rehabilitation after treatment with CI in axa0series of cases.Materials and methodsThe demographic findings, symptoms, and results of surgical therapy in 8xa0patients were evaluated in axa0retrospective analysis.ResultsPrior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3xa0patients. Among the patients, 4xa0had an intracochlear and 3xa0an intravestibular schwannoma, and axa0transmodiolar schwannoma was found in 1xa0patient. Axa0total of 6xa0patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.DiscussionCI treatment following resection of an intralabyrinthine schwannoma is axa0promising option for auditory rehabilitation, even in single-sided deafness. This is axa0new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.BACKGROUNDnTo date, the therapy of intralabyrinthine schwannoma consists mainly of axa0wait-and-see approach, completely ignoring auditory rehabilitation. Only axa0few single-case reports are as yet available on treatment with cochlear implants (CI).nnnAIM OF THE STUDYnThis study aimed to assess the results of auditory rehabilitation after treatment with CI in axa0series of cases.nnnMATERIALS AND METHODSnThe demographic findings, symptoms, and results of surgical therapy in 8xa0patients were evaluated in axa0retrospective analysis.nnnRESULTSnPrior to surgery, all patients presented with profound hearing loss and tinnitus. Episodic dizziness was reported by 3xa0patients. Among the patients, 4xa0had an intracochlear and 3xa0an intravestibular schwannoma, and axa0transmodiolar schwannoma was found in 1xa0patient. Axa0total of 6xa0patients underwent treatment with CI. The results of auditory rehabilitation are favorable with open-set speech comprehension.nnnDISCUSSIONnCI treatment following resection of an intralabyrinthine schwannoma is axa0promising option for auditory rehabilitation, even in single-sided deafness. This is axa0new treatment concept in contrast to the wait-and-scan policy. Expectant management appears justified only if the patient still has usable hearing.