Hearing loss before 50? Alert to tumor threat

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Recently, grandma Tang, whose tinnitus has been interrupted for more than 10 years, not only suffered from hearing loss, but also suffered from stubborn headache and vomiting after eating. After diagnosis, grandma Tang was diagnosed with acoustic neuroma. Finally, she successfully removed the tumor in neurosurgery of the second people’s Hospital of Guangdong Province with innovative surgical methods and preserved facial nerve in good condition.

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It’s been 10 years since I was 50 years old

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Tang, 63, has been suffering from hearing loss in her right ear for ten years. She used to have tinnitus and her ears are always buzzing. But she didn’t care. She thought it was a normal phenomenon of aging.

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In recent years, it seems that her right ear is no longer so loud. As a result, after several tests, the family found that grandma Tang’s right ear is completely deaf. Grandma Tang doesn’t think it’s painful, and the hearing of the other ear can meet the needs of daily life, so she still doesn’t pay attention to the matter of the ear, “it’s aging,” grandma Tang said.

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In the past two weeks, grandma Tang suddenly had a persistent headache, and she would vomit as soon as she ate it, which was accompanied by her family to the hospital. The doctor made a MRI examination for grandma Tang after asking her medical history in detail. At last, MRI of the head showed that there was a 3 cm tumor near the right auditory nerve, brain stem and cerebellum of Tang a PO, which was diagnosed as acoustic neuroma.

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Tang’s family realized that the reason for Tang’s deafness, headache and vomiting was that she thought that the hearing loss was “no pain, no itch”. Even more surprising to the family is that grandma Tang has been living with cancer for more than ten years.

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Innovating operation method to save facial nerve

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Because the acoustic neuroma of Tang a PO is located around the brain stem, the risk of operation is very high, the incidence of postoperative facial paralysis is high, more serious is that Tang a PO also has hydrocephalus. The local hospital dare not implement it, so grandma Tang went to the neurosurgery department of the second people’s Hospital of Guangdong Province with the company of her family members.

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Zhang Yong, director of Neurosurgery Department of the second people’s Hospital of Guangdong Province, confirmed the diagnosis of acoustic neuroma in Tang a-po. Because grandma Tang also has hydrocephalus, director Zhang Yong thinks that surgery should be done immediately.

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It is understood that the treatment of acoustic neuroma is mainly surgical treatment, generally using the traditional retrosigmoid approach. But the risk of operation is very great, the pulling of cerebellum and brainstem is serious, the recovery is slow, and the operation is likely to destroy the facial nerve. Serious facial paralysis may occur after the operation, resulting in the eyes of the affected side are not fully closed and the angle of mouth is askew, which seriously affects the quality of life of the patients. In addition, the incidence of intracranial hematoma and infarction is relatively high.

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In order to avoid serious postoperative complications, after careful planning before operation, director Zhang Yong finally adopted the international “non mainstream” labyrinth approach to perform acoustic neuroma resection for grandma Tang.

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As expected, the symptoms of headache and vomiting disappeared, the facial nerve was well protected, the facial paralysis was very slight, the postoperative reaction was very light, she went to the ground in two or three days, and expected to be discharged in a week. Moreover, the incision of the operation is only 5cm, which is located in the hairline behind the ear. There is no need to shave the head before the operation. After the operation, the cosmetic suture is used, and the wound can hardly be seen after the healing. Grandma Tang is very satisfied with the effect of the operation.

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According to Director Zhang Yong, acoustic neuroma resection via labyrinthine approach has the advantages of small incision, minimally invasive, high total resection rate, light postoperative response and high facial nerve protection rate, which can bring superior curative effect to acoustic neuroma patients. In the future, it should be vigorously advocated and promoted to become the mainstream acoustic neuroma operation mode.

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Health reminder

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Her family was very happy to see grandma Tang who recovered from the operation. But what makes grandma Tang’s family curious is why grandma Tang can live with tumor for more than ten years.

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It is understood that acoustic neuroma is a benign tumor located in the brain, the incidence of which accounts for about 8.43% of the total intracranial tumors, and is prone to 30-50 years old. “The biggest feature of this disease is that it has a very slow progress and a very long course of disease”. According to Director Zhang Yong, the early symptoms only show hearing loss on one side, which is often ignored by patients because the hearing on the other side is normal.

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Zhang Yong said that the average time from onset to hospitalization of many patients is 3.5-5 years, and 10-15% of patients can recall the existence of symptoms even 10 years ago. The most direct manifestation of tumor growth is the hearing loss on one side of the patient, and quite a number of patients have completely lost their hearing when they see a doctor. Although acoustic neuroma is a benign tumor, the continuous growth of the tumor will compress the brainstem and the fourth ventricle, which will cause hydrocephalus, intracranial hypertension and even life-threatening.

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Director Zhang Yong introduced that in the past, many patients with acoustic neuroma were not diagnosed early because of the examination methods. With the clinical application of CT and MRI and the renewal of the operation equipment, the diagnosis and treatment of acoustic neuroma have been greatly improved. Director Zhang Yong specially reminded that early detection, especially the acoustic neuroma with tumor less than 3cm, is completely possible to keep hearing, “if one side of the hearing is found to be decreased between 40-50 years old, it is necessary to timely see a doctor to avoid hearing killer acoustic neuroma.”.

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