Introduction  Vestibular schwannoma (also known as acoustic neuroma) is a benign tumor whose cells are derived from Schwann sheaths, which commonly occurs from the vestibular portion of the eighth cranial nerve. Furthermore, vestibular schwannomas account for ∼8% of intracranial tumors in adults and 80 to 90% of tumors of the cerebellopontine angle. Its symptoms are varied, but what stands out most is a unilateral sensorineural hearing loss, with a low index of speech recognition. Objective  Describe an atypical manifestation of vestibular schwannoma. Case Report  The 46-year-old woman had vertigo and binaural hearing loss and fullness, with ear, nose, and throat examination suggestive of cochlear injury. After 6 months, the patient developed worsening of symptoms and onset of right unilateral tinnitus. In further exams the signs of cochlear damage remained, except for the vestibular test (hyporeflexia). Magnetic resonance imaging showed an expansive lesion in the right cerebellopontine angle. Discussion  This report warns about the atypical manifestations of vestibular schwannoma, which must always be remembered in investigating and diagnosing hearing loss.

INTRODUÇÃO: A septoplastia associada a turbinectomia inferior parcial é uma das cirurgias mais realizada no pacientes com obstrução nasal. O tampão nasal tem sido usado para controle primário do sangramento nestas cirurgias. Várias complicações têm sido relacionadas com o uso do tampão nasal, alem de causarem dor e desconforto importante com seu uso. Alguns estudos têm questionado a eficácia do tampão nasal no controle do sangramento e das complicações após septoplastia e turbinectomia. OBJETIVO: Comparar o grau de sangramento nasal entre os pacientes submetidos à septoplastia com turbinectomia parcial inferior bilateral que usaram ou não tampão nasal. MÉTODO: Foi realizado estudo prospectivo no qual foram avaliados 60 pacientes com diagnóstico de desvio do septo nasal com hipertrofia das conchas inferiores. Os pacientes foram submetidos à septoplastia com turbinectomia bilateral com visualização direta. Foram divididos em 2 grupos: sem tampão e com tampão (Merocel® e dedo de luva). Estes foram avaliados no pós-operatório, a partir da avaliação da intensidade do sangramento. RESULTADO: Foi observado que o grau de sangramento no pós-operatório no grupo submetido à turbinectomia inferior parcial bilateral e que usou tampão nasal foi menor, do que no grupo que não usou tampão. CONCLUSÃO: Pacientes submetidos à septoplastia com turbinectomia parcial inferior bilateral e não usaram tampão nasal no pós-operatório apresentaram mais sangramento do que os pacientes que usaram tampão nasal.

INTRODUCTION: The septoplasty associated to partial inferior turbinectomy is one of the most cirurgies done in patients with nasal obstruction. The nasal tampon has been used for bleeding primary control in these cirurgies. Several complications have been related with the nasal tampon usage, beyond to induce pain and important discomfort with its usage. Some studies have questioned the nasal tampon efficiency in the bleeding control and the complications after septoplasty and turbinectomy. OBJECTIVE: to compare the degree of nasal bleeding among patients that had done the septoplasty with partial bilateral inferior turbinectomy which used or not the nasal tampon. METHOD: It was done a prospective study where it was evaluated 60 patients with nasal septum deviation with inferior shells hypertrophy. The patients were submitted to septoplasty with bilateral turbinectomy with direct visualization. They were divided in two groups: without tampon and with tampon (Merocel® and glove's finger). These were evaluated in post-cirurgy, from the evaluation of bleeding intensity. RESULT: It was observed that the bleeding's degree in the post-cirurgy of the group who did partial bilateral inferior turbinectomy and used the nasal tampon was less than the group that did not use tampon. CONCLUSION: Patients submitted to septoplasty with partial bilateral inferior turbinectomy and did not use nasal tampon in post-cirurgy showed more bleeding than patients that used nasal tampon.