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Laryngoscope. 2009 Nov;119(11):2085-93. doi: 10.1002/lary.20648.

A contemporary review of balance dysfunction following vestibular schwannoma surgery.

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  • 1Neuro-otology Department, National Hospital for Neurology and Neurosurgery, London, United Kingdom.

Abstract

OBJECTIVES/HYPOTHESIS:

This review aims to evaluate the literature pertaining to subjective balance dysfunction following vestibular schwannoma surgery; the effect of postoperative imbalance on disability, handicap and quality of life; and to determine factors that influence vestibular compensation.

METHODS:

Ovid MEDLINE, Cochrane databases, and relevant contemporary texts were searched for papers relating to subjective balance dysfunction following vestibular schwannoma surgery. The quality of this clinical evidence was evaluated.

RESULTS:

The search yielded 26 studies assessing subjective balance dysfunction following vestibular schwannoma surgery. Analysis revealed that the majority of patients complain of balance dysfunction following surgery; however, a small number report disability or handicap. A few studies have demonstrated a decreased quality of life due to balance dysfunction. Factors have been identified that may contribute to a poor recovery.

CONCLUSIONS:

Further study is needed of the factors that influence vestibular compensation following vestibular schwannoma surgery. This will help to counsel patients prior to surgery and develop strategies for rehabilitation.

[PubMed - indexed for MEDLINE]
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