The authors have no funding, financial relationships, or conflicts of interest to disclose.
Influence of age on postural compensation after unilateral deafferentation due to vestibular schwannoma surgery†
Version of Record online: 5 SEP 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 10, pages 2285–2290, October 2012
How to Cite
Gauchard, G. C., Lion, A., Perrin, P. P. and Parietti-Winkler, C. (2012), Influence of age on postural compensation after unilateral deafferentation due to vestibular schwannoma surgery. The Laryngoscope, 122: 2285–2290. doi: 10.1002/lary.23497
- Issue online: 20 SEP 2012
- Version of Record online: 5 SEP 2012
- Manuscript Accepted: 15 MAY 2012
- Manuscript Revised: 8 MAY 2012
- Manuscript Received: 13 JAN 2012
- Vestibular schwannoma;
- postural control;
- Level of Evidence: 4
To evaluate the age-related effects of vestibular schwannoma (VS) on postural control and whether the postoperative postural strategies differ according to age.
Longitudinal, transversal study.
Forty-seven VS patients were split into three groups according to age (group I, 14 patients aged from 30 to 44 years; group II, 21 patients aged from 45 to 59 years; and group III, 12 patients aged from 60 to 75 years). All patients underwent vestibular and posturographic testing shortly before as well as 8 days and 3 months after surgical tumor removal.
Vestibular and postural performance followed a classical time course with degradation just after surgery and recovery 3 months after surgery, whatever the age group. However, in the elderly the improvement of postural performances compared to preoperatively was more important, especially in conflicting situations.
Despite of age-related decline in postural control and cognitive processes, neuroplasticity allowed not only a recovery but even an improvement of balance after surgical VS removal in the elderly. This study highlights the interest of VS surgery even at a more advanced age. Laryngoscope, 2012