Solitary Vestibular Schwannoma: Decision Making of Treatments
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.
KeywordsFacial Nerve Cochlear Implantation Vestibular Schwannoma Internal Auditory Canal Vestibular Schwannomas
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