Question
What are the most recent advances in the management of Large Vestibular Aqueduct Syndrome (LVAS)? What is the audiologist's role?
Answer
There still is no effective treatment for the LVAS. Avoiding unnecessary cranial trauma and barometric pressure changes may help to delay or avoid sudden changes in hearing, but there is no good data on this. I do not believe that any medical treatment (e.g. with diuretics or steroids) helps, and surgical attacks on the endolymphatic sac have resulted in further loss.
The difficulty for the audiologist is to provide flexible amplification to deal with the fluctuating hear loss, and to think of a cochlear implant in the long term.
BIO
Dr. Cohen is Chairman, Department of Otolaryngology and is Director, Cochlear Implantation Program, New York University Medical Center. He directs the Residency Program and clinical services at Tisch Hospital and Bellevue Hospital Center.
Noel Cohen, MD
Mendik Foundation Professor of Otolaryngology and Chairman, Departments of Otolaryngology and Administration New York University Medical Center
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