Translabyrinthine vestibular schwannoma resection with simultaneous cochlear implantation

Objectives: (1) Report a rare case of translabyrinthine resection of a sporadic vestibular schwannoma (VS) and concurrent cochlear implantation (CI). (2) Discuss pre-, intra-, and post-operative considerations in this unique patient population. (3) Describe surgical and audiologic outcomes reported in this population.Methods: Case report and review of the literature. PubMed search ‘Cochlear Implantation’[Mesh] AND (‘Neuroma, Acoustic’[Mesh] OR ‘VESTIBULAR SCHWANNOMA’[All Fields] OR ‘SCHWANNOMA’[All Fields]) limited to humans and English language. Returned 64 search results, abstracts and references of relevant papers reviewed.Results: A 75-year-old male with longstanding history of slowly progressive severe hearing loss and tinnitus presented for evaluation of worsening imbalance, vertigo, and nausea. Workup revealed a 7 mm right intracanalicular mass on MRI concerning for vestibular schwannoma. Audiogram showed bilateral, symmetric, severe-to-profound sensorineural hearing loss, with poor open-set speech...