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Akustikusneurinome (Vestibularisschwannome)

Behandlung aus neurochirurgischer Sicht

Acoustic neuroma (vestibular schwannoma)

Treatment from a neurosurgical perspective

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Zusammenfassung

Während im vergangenen Jahrhundert der Schwerpunkt der Mikroneurochirurgie zunächst im Erhalt des Lebens, später in kompletter Tumorentfernung und erst danach im Erhalt der Funktion lag, steht heute der Funktionserhalt eindeutig im Vordergrund. Die Behandlung der Akustikusneurinome umfasst ein rein konservatives Vorgehen, die Operation sowie die Strahlentherapie. Seit einigen Jahren werden zunehmend häufiger kleine Tumoren nur beobachtet oder bei Fortschreiten der Erkrankung bestrahlt. Insgesamt sind die Operationszahlen rückläufig. Bei den operierten Tumoren handelt es sich überwiegend um größere Tumoren.

Abstract

During the last century microsurgical approaches laid emphasis in descending order on preservation of life, total tumor excision and function. Today, the priority of microsurgery has changed to functional preservation. The management of vestibular schwannomas consists of observation, surgical resection, or radiation therapy. In recent years, there has been an increase in observation-only management for small tumors, or radiotherapy in the case of tumor progression. The number of surgical procedures is in decline, with surgery being reserved mainly for large tumors.

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  1. Neurochirurgische Universitätsklinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    U. Schick & A. Unterberg

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  1. U. Schick
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  2. A. Unterberg
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Correspondence to U. Schick.

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Schick, U., Unterberg, A. Akustikusneurinome (Vestibularisschwannome). HNO 59, 16–21 (2011). https://doi.org/10.1007/s00106-010-2189-4

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  • DOI: https://doi.org/10.1007/s00106-010-2189-4

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