ZusammenfassungPrimäres Ziel der Behandlungsstrategie von Vestibularisschwannomen ist der Erhalt bzw. die Optimierung der Lebensqualität unter bestmöglicher Erhaltung der Nervenfunktionen. Einfluss auf das Management von Vestibularisschwannomen haben in erster Linie Tumorgröße, Tumorlage, Wachstumstendenz, Alter und Komorbiditäten sowie audiovestibuläre Symptome, d. h. Gleichgewichts- und Hörstörungen.

In the future, lists identified as deviating from the norm should not be used. The results of this study only partly agree with results from former studies.

When using the FBE in clinical routine, two test lists should be heard by the patients before the actual test starts. This procedure helps to improve the quality of the FBE.

The LCBERA is recommended for use in routine clinical practice.

Today's audiological functional diagnostics is based on a stock of hearing tests, whose large number takes account of the variety of malfunctions of a complex sensory organ system and the necessity to examine it in a differentiated manner and at any age of life. The objective is to identify nature and origin of the hearing loss and to quantify its extent as far as necessary to dispose of the information needed to initiate the adequate medical (conservative or operational) treatment or the provision with technical hearing aids or prostheses. Moreover, audiometry provides the basis for the assessment of impairment and handicap and for the calculation of the degree of disability. In the present overview, the current state of the method inventory available for practical use is described, starting from basic diagnostics over to complex special techniques. The presentation is systematically grouped in subjective procedures, based on psychoacoustic exploration, and objective methods, based on physical measurements: preliminary hearing tests, pure tone threshold, suprathreshold processing of sound intensity, directional hearing, speech understanding in quiet and in noise, dichotic hearing, tympanogram, acoustic reflex, otoacoustic emissions and auditory evoked potentials. Apart from a few still existing gaps, this method inventory covers the whole spectrum of all clinically relevant functional deficits of the auditory system.