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Solitary Vestibular Schwannoma: Decision Making of Treatments

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Tumors of the Central Nervous System, Volume 7

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 7))

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Abstract

Therapeutic strategies of vestibular schwannomas treatment are changed in the last years. The improvement of surgical equipments and skills allowed increasing the numbers of successful operations in the last 10 years. The results improved in terms of survival, quality of life, recurrences, facial nerve function, and hearing preservation. Also the age of operated patients, once a restriction, becomes progressively a relative limitation to surgical indication. However the progressive widening of MRI availability give to the Otoneurologist the possibility to follow-up the patients with a relative simple radiological examination, delaying the decision to treat surgically the neoplasm only in case of growth or symptoms occurrence. The medical society is in demand of a treatment strategy based on hard data especially on the growth pattern of these tumors. To have a complete picture of the treatment options we will discuss following the several modality to manage a solitary vestibular schwannoma; the discussion about radiotherapy-radiosurgery is treated elsewhere in this book.

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Authors and Affiliations

  1. U.O.C. Otorinolaringoiatria, Ospedale S. Giovanni di Dio Agrigento, Università degli Studi di Palermo, Palermo, Italy

    Francesco Dispenza

  2. ENT Institute, Department of Surgical, Clinical and Experimental Sciences, Università degli Studi G. d’Annunzio Chieti-Pescara, Palermo, Italy

    Alessandro De Stefano

Authors
  1. Francesco Dispenza
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  2. Alessandro De Stefano
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Correspondence to Francesco Dispenza .

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Editors and Affiliations

  1. , Kean University, Room 213, Library building, Morris Avenue 1000, Union, 07083, New Jersey, USA

    M.A. Hayat

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Dispenza, F., De Stefano, A. (2012). Solitary Vestibular Schwannoma: Decision Making of Treatments. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 7. Tumors of the Central Nervous System, vol 7. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2894-3_29

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  • DOI: https://doi.org/10.1007/978-94-007-2894-3_29

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-2893-6

  • Online ISBN: 978-94-007-2894-3

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