Acoustic neuroma: a benign tumor in the ear

Written by: Dr. Xabier Altuna Mariezcurrena
Edited by: Roser Bernés Ubasos

The acoustic neuroma is a benign slow growing tumor that occurs in the nerve sheath of balance and hearing. This nerve is located in the inner ear area and reaches the brainstem.


Symptoms of acoustic neuroma tumor

The most common symptom is progressive hearing loss in one ear. It can also be accompanied by tinnitus or noises in the ear as well as gait instability.

It is less commonly presented as unilateral hearing loss or sudden vertiginous crisis, but in these cases should also be tested for this type of tumor discarded. As the lesion grows, symptoms can worsen.


Diagnosis of acoustic neuroma

audio neurinoma The diagnosis is based first on an index of suspicion by the otolaryngologist before a unilateral hearing loss or instability of the patient, but the definitive diagnosis is provided by an MRI. This test provides information about the existence of neuroma and see their location, size and type, fundamental data along with the age and symptoms of the patient to make a therapeutic decision.


Treatment of acoustic neuroma

In cases where the tumor with surgery is concerned, there are different possible approaches to the removal of the lesion: the ultimate goal is to remove the tumor while preserving the important surrounding structures, mainly the facial nerve that gives mobility to the face, but in depending on the type of collision possibility also exists hearing conservation.


Recovery removal of a neurinoma

The recovery will have two distinct periods:

  1. Immediate postoperative period or the first days after surgery. During this period the patient remains in the hospital recovering from the surgery itself said.
  1. In a second period or second recovery time, the emphasis should be on the recovery of balance, preferably supported on a rehabilitation program balance.


Risks and results of the removal of a neurinoma

The operation results vary depending on tumor size and age of the patient.

The acoustic neuroma surgery is an intracranial surgery that requires high levels of preparation by the surgical team, as it requires to be very thorough to minimize complications and achieve optimal results. The greater the experience of the specialist in the surgical treatment of these tumors, the better the results. For this reason, it is always recommended to ask the surgeon the number of operations performed annually of this disease and what their actual results.

In the hands of the right equipment, when the tumor has been diagnosed in time, the expected effects are complete removal of the tumor with conservation of the facial nerve and a considerable percentage also hearing conservation.


Edited by Roser Berner Ubasos

*Translated with Google translator. We apologize for any imperfection

By Dr. Xabier Altuna Mariezcurrena

Prestigious ENT specialist, Dr. Altuna Mariezcurrena is an expert in surgery of the middle ear and hearing implants among other treatments. Bachelor of Medicine and Surgery at the University of Navarra and, d ince 2007, combines this activity with her ​​work as Chief of Otolaryngology at the Hospital Donostia. Since 2005 it is one of the specialists of the Department of Otolaryngology of the Gipuzkoa Polyclinic. Member of numerous medical and scientific societies. He has also participated as an author and second author on many communications congress national and international prestige.

*Translated with Google translator. We apologize for any imperfection

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