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Acoustic Neuroma

Concerns with Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, RLE, etc.


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Acoustic neuroma can affect facial sensation, expression, and balance. Lasik is not normally directly affected by this malady.

 

Acoustic neuroma is not usually a contraindication for conventional or custom wavefront  LasikAll-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, or RLE if it has been either removed or otherwise stabilized, however be sure to tell your doctor about your condition before having refractive surgery.

Acoustic neuroma (sometimes termed a neurolemmoma or schwannoma) is a non-cancerous tissue growth on a nerve leading from the brain to the inner ear. This nerve both transmits sound information and sends balance information to the brain from the inner ear. Although reduced facial sensation, limited facial expression, and poor balance may occur, these do not directly affect refractive surgery, a concern would be if these symptoms developed after Lasik or similar laser eye surgery it would be difficult to determine if the symptoms were related to the surgery or acoustic neuroma.

The affected nerve to the ear and the facial nerve that provides motion of the muscles of facial expression lie adjacent to each other as they pass through a bony canal called the internal auditory canal. The brain is not invaded by the tumor, but the tumor pushes the brain as it enlarges. The slowly enlarging tumor protrudes from the internal auditory canal into an area behind the temporal bone called the cerebellopontine angle. The tumor now assumes a pear shape with the small end in the internal auditory canal.

Larger tumors can press on another nerve in the area (the trigeminal nerve) which is the nerve of facial sensation. Vital functions to sustain life can be threatened when large tumors cause severe pressure on the brainstem and cerebellum part of the brain. Most acoustic neuromas are diagnosed in patients between the ages of 30 and 60.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgeon.


Current Acoustic Neuroma Medical Journal News...

Validation of a disease-specific quality-of-life instrument for acoustic neuroma: the Penn Acoustic Neuroma Quality-of-Life Scale.

Related Articles

Validation of a disease-specific quality-of-life instrument for acoustic neuroma: the Penn Acoustic Neuroma Quality-of-Life Scale.

Laryngoscope. 2010 Jul 16;

Authors: Shaffer BT, Cohen MS, Bigelow DC, Ruckenstein MJ

OBJECTIVES/HYPOTHESIS:: To design and validate the first disease-specific quality-of-life instrument for acoustic neuroma, the Penn Acoustic Neuroma Quality-of-Life (PANQOL) scale. STUDY DESIGN:: Prospective instrument validation. METHODS:: One hundred forty-three patients with acoustic neuromas completed the 80-question preliminary instrument and the general Short Form-36 Health Survey (SF-36). A chart review documented patient information. Statistical analysis was performed for item reduction and evaluation of validity criteria. RESULTS:: Analysis of item-total and item-item score correlations eliminated 38 items from the preliminary instrument. Exploratory principal component factor analysis eliminated 16 additional items and identified a natural grouping of remaining items into seven domains, forming the final 26-item PANQOL scale. Test-retest reliability and internal consistency measures for the instrument were high. PANQOL domain scores correlated significantly with related SF-36 domain scores and correlated significantly with related visual analogue scale questions given with the preliminary instrument. PANQOL face domain scores showed significant differences across the House-Brackmann grading system scores and correlated inversely with tumor size. No domain in either the PANQOL or SF-36 had a strong correlation with pure-tone average or speech discrimination scores. The PANQOL scale discriminated acoustic neuroma cases from controls better than the SF-36. CONCLUSIONS:: We have developed the first validated disease-specific quality of life instrument for patients with acoustic neuromas. Given the lack of a validated equivalent, this tool has the potential to become a critical outcome measure for studies evaluating treatment of patients with acoustic neuromas. Laryngoscope, 2010.

PMID: 20641085 [PubMed - as supplied by publisher]

 


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Last updated Monday, April 12, 2010

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