open access
Surgical treatment of acoustic neuroma: Outcomes and indications
open access
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.
Keywords
Acoustic neuroma surgery; Translabyrinthine approach; Retrosigmoid approach; Hearing preservation surgery; Acoustic neuroma outcome
About this articleTitle
Surgical treatment of acoustic neuroma: Outcomes and indications
Journal
Reports of Practical Oncology and Radiotherapy
Issue
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