Acoustic neuroma
vestibular schwannoma
Angiogram
a special test that is performed by an experienced radiologist where a plastic tube or catheter is inserted into one of the blood vessels in the groin and is then advanced to the blood vessels in the neck. Using this test, multiple tumors can be identified and arterial blood vessels feeding the tumor can be clotted off.
Artery
a vessel which carries richly oxygenated blood from the heart to other organs
Audiogram
a hearing test conducted in a sound-proof room by a qualified audiologist
Auditory brainstem response
a special hearing test done while a patient is hearing clicks or certain tones.
Bilateral
on both sides
Canal wall down procedure
a procedure where the bony partition between the back part of the ear canal and mastoid is removed
Canal wall up procedure
a procedure where the bony partition between the back part of the ear canal and mastoid is kept intact
Central
near the brainstem
Cerebellum
portion of the brain found in the posterior fossa which regulates fine motor coordination
Chorda tympani nerve
a nerve which transmits taste information from the front two-thirds of the tongue back to the brain. The nerve travels through the middle ear close to the ossicles.
Cochlea
part of the inner ear involved in hearing
Conductive Loss
A type of hearing loss which arises from the middle ear, due to wax, fixation of the ossicles, ear infection etc., and is often easily corrected by medication and/ or surgery.
Congenital cholesteatoma
a cholesteatoma that arises in an ear from squamous epithelium that became entrapped within the middle ear or petrous apex
Conjunctiva
the white part of the eye
Craniotomy
temporary removal of a portion of the skull over the brain.
CT scan
a computerized tomography scan or special X-ray which allows more detailed views of bony structures and soft tissue
Dura
a tough fibrous layer found immediately under the skull that protects the brain.
Electronystagmogram (ENG)
a balance test which involves recording movements of the eyes while changing positions of the head with respect to the earth's gravitational field. The eye movements are also recorded while cool and warm air is blown into the ear canal.
Embolization
a procedure done during angiography which involves blocking the blood vessels supplying blood to the tumor
Endolymphatic hydrops
a condition of excessive fluid within the endolymphatic space
Glomus Jugulare
a paraganglioma which arises from paraganglia around the jugular bulb
Glomus tympanicum
a paraganglioma which arises from paraganglia in the middle ear
Hydrocephalus
a buildup of spinal fluid that can lead to brain dysfunction and death
Internal auditory canal
a bony canal which contains the cochlear, vestibular, and facial nerves
Internal Jugular Vein
a vein that collects blood from the brain and empties eventually into the heart
Jugular bulb
a venous cavity which receives blood from the sigmoid sinus and empties into the internal jugular vein
Keratin
a protein found in cells that form squamous epithelium
Lacrimal glands
glands that produce tears in the eyes
Mastoid
the bone located directly behind the external ear which communicates with the middle ear
Mastoidectomy
a procedure to remove part of the mastoid in order to clean out infection and remove cholesteatoma
Meniere's disease
endolymphatic hydrops for which no cause can be identified
Middle Fossa approach
a hearing preservation approach which allows visualization of the roof of the internal auditory canal for removal of small tumors. This approach involves a craniotomy above the ear.
Mixed Loss
A type of hearing loss caused by a problem with both the middle and inner ear/nerve simultaneously.
Modified radical mastoidectomy
a procedure where the bony partition between the back part of the ear canal and mastoid is removed and an ossicular reconstruction with repair of the eardrum is also performed
Myelin
a substance which insulates nerves and allows for more efficient transmission of electrical signals
Obersteiner-Redlich zone
area where schwann cells meet oligodendroglia cells
Oligodendroglia cells
type of cell which coats the central segment of nerves
Ossicles
the three bones behind the eardrum, namely the malleus, incus and stapes
Ossicular reconstruction
a procedure to repair the ossicles so that sound transmission can occur to the inner ear
Otolith organs
balance organs responsible for detecting linear acceleration of the head. These include the utricle and the saccule.
Otoliths
small stones found in the otolith organs
Paraganglia
cells located around the middle ear, jugular bulb, or carotid artery in the neck which are thought to detect oxygen and carbon dioxide levels in the bloodstream
Perilymph
another type of fluid found in the inner ear
Peripheral
near the inner ear
Petrous apex
bone that is located deep to the inner ear
Petrous apex epidermoid
a cholesteatoma that arises from squamous epithelium that became entrapped within the petrous apex
Radical mastoidectomy
a procedure done where the eardrum, malleus, and incus are removed and the bony partition between the back part of the ear canal and mastoid is also removed.
Saccule
part of the inner ear responsible for gathering information relating to linear acceleration of the head
Schwann cells
type of cell which coats the peripheral segment of nerves and produces a substance called myelin
Semicircular canals
part of the inner ear involved in gathering information on head motion
Sensorineural Loss
A type of hearing loss arising from the inner ear and/or nerve, which in most cases is permanent, due to aging, ototoxic drugs, noise exposure, etc. Hearing aids are the best remedy for a sensorineural loss.
Sigmoid sinus
a large vein found deep within the mastoid which collects blood from the brain and empties into the jugular bulb
Squamous epithelium
skin
Suboccipital approach
a hearing preservation approach which involves a craniotomy far behind the ear that allows visualization of the posterior portion of the internal auditory canal.
Tinnitus
ringing or noise in the ears
Translabyrinthine approach
an approach which involves an incision behind the ear and a craniectomy through the semicircular canals of the inner ear. This allows visualization of the posterior aspect of the internal auditory canal. Hearing is always lost.
Trigeminal nerve
the nerve which transmits information on facial sensation, not motion
Tympanoplasty
a procedure to repair the eardrum and the ossicles
Unilateral
on one side
Utricle
part of the inner ear responsible for gathering information relating to linear acceleration of the head
Vein
a vessel that carries blood away from other organs and to the heart. The red blood cells within veins have a lower oxygen content.
Vertigo
a sensation of surrounding objects spinning around you or a sensation that you are being spun around
Vestibular
pertaining to the function of balance
Vestibular schwannoma
acoustic neuroma