Case 4

This case was presented in Medical Audiology, as case 1. The patient has a unilateral vestibular schwannoma.  The loss was noticed about three years ago.

 

S.T. WRS % @ HL
Right 40 dB HL 40 80
Left 30 dB HL 92 70

Tympanograms are hypercompliant; reflexes are absent ipsilaterally in each ear.

The patient has a right ear vestibular schwannoma (acoustic neuroma) – a retrocochlear pathology.

—      The recommendation in the chart is for binaural hearing aid trial.  Do you concur?

—     If the right ear is not aided conventionally, what are the options to allow for the patient to hear sound that is coming from the right side?