open access

Vol 21, No 4 (2016)
Special Issue Papers
Published online: 2016-07-01
Submitted: 2015-07-21
Get Citation

Surgical treatment of acoustic neuroma: Outcomes and indications

Elisabetta Zanoletti, Chiara Faccioli, Alessandro Martini
DOI: 10.1016/j.rpor.2015.11.002
·
Rep Pract Oncol Radiother 2016;21(4):395-398.

open access

Vol 21, No 4 (2016)
Special Issue Papers
Published online: 2016-07-01
Submitted: 2015-07-21

Abstract

Aim

Surgery for acoustic neuroma has developed over the years with a gradual improvement in outcome. The goal of surgery should be cure of the disease and a low morbidity, preserving facial nerve function – and hearing, too, whenever feasible (i.e. in small tumors). The most appropriate approach must be decided case by case.

Background

Results of microsurgery remain heterogeneous, however, probably due to the different amount of experience gained at different centers.

Materials and Methods

Surgical series reported in the recent literature (2012–2015) were critically reviewed, along with some older papers with particularly representative series.

Results and conclusion

Considering patients’ age, surgical morbidity of different approaches, tumor size and hearing, some principles can be identified on which to base surgical indications with a view to achieving the goals of curing the disease with a low morbidity, preserving facial nerve function and hearing, too, whenever feasible (i.e. in patients with small tumors). Different therapeutic approaches are discussed.

Abstract

Aim

Surgery for acoustic neuroma has developed over the years with a gradual improvement in outcome. The goal of surgery should be cure of the disease and a low morbidity, preserving facial nerve function – and hearing, too, whenever feasible (i.e. in small tumors). The most appropriate approach must be decided case by case.

Background

Results of microsurgery remain heterogeneous, however, probably due to the different amount of experience gained at different centers.

Materials and Methods

Surgical series reported in the recent literature (2012–2015) were critically reviewed, along with some older papers with particularly representative series.

Results and conclusion

Considering patients’ age, surgical morbidity of different approaches, tumor size and hearing, some principles can be identified on which to base surgical indications with a view to achieving the goals of curing the disease with a low morbidity, preserving facial nerve function and hearing, too, whenever feasible (i.e. in patients with small tumors). Different therapeutic approaches are discussed.

Get Citation

Keywords

Acoustic neuroma surgery; Translabyrinthine approach; Retrosigmoid approach; Hearing preservation surgery; Acoustic neuroma outcome

About this article
Title

Surgical treatment of acoustic neuroma: Outcomes and indications

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 21, No 4 (2016)

Pages

395-398

Published online

2016-07-01

DOI

10.1016/j.rpor.2015.11.002

Bibliographic record

Rep Pract Oncol Radiother 2016;21(4):395-398.

Keywords

Acoustic neuroma surgery
Translabyrinthine approach
Retrosigmoid approach
Hearing preservation surgery
Acoustic neuroma outcome

Authors

Elisabetta Zanoletti
Chiara Faccioli
Alessandro Martini

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