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.
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.
Authors: Rick A Friedman; Karen I Berliner; Marc Bassim; Joseph Ursick; William H Slattery; Marc S Schwartz; Derald E Brackmann Journal: Otol Neurotol Date: 2011-10 Impact factor: 2.311
Authors: Jonathan L Hatch; Michael J Bauschard; Shaun A Nguyen; Paul R Lambert; Ted A Meyer; Theodore R McRackan Journal: Otolaryngol Head Neck Surg Date: 2018-03-27 Impact factor: 3.497