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Moderator Dr. Francis A. Sooy: The only person on the panel who needs any introduction is Dr. Jerva, who is a neurological surgeon from Chicago.
I think that one of the things that this audience would most like to know is how far should we as otologists go in the investigation of patients who complain of a hearing loss, perhaps a very minor hearing loss, perhaps a little unsteadiness. This is one of the questions that bothers me a great deal.
I would first like to ask what is your routine investigation of an acoustic neuroma suspect. Dr. Clemis.
Dr. Jack D. Clemis: This consists of extensive studies of the cochlear system and the vestibular system, followed by a neurological evaluation, particularly related to the cranial nerves.
If we are still suspicious at this time, special audiometric studies are done using a battery of tests which have been well described
Sooy FA, Bradley WH, Britton RH, Clemis JD, House WF, Jerva MJ. Acoustic Neuroma Surgery. Arch Otolaryngol. 1973;97(2):154–159. doi:10.1001/archotol.1973.00780010160014