06.11.2019 | Editorial (by Invitation) - Brain Tumors
Editorial re: Facial nerve function and hearing after microsurgical removal of sporadic vestibular schwannomas in a population-based cohort by Ismail Taha et al.
verfasst von:
Martin Sames
Erschienen in:
Acta Neurochirurgica
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Ausgabe 1/2020
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Excerpt
The authors present their results of facial nerve function and hearing after microsurgical removal of vestibular schwannoma (VS) between the years 2001 and 2017. During this period, the treatment protocol was changed remarkably with the introduction of stereotactic Cyber Knife (CK) radiosurgery. Between the years 2001 and 2012, the aim of surgery was gross-total resection of the tumor with drilling of the internal acoustic canal in order to concurrently remove the intrameatal part of the tumor. In 2012, the operative strategy changed to partial tumor resection of only the extrameatal tumor, and this practice was applied during the latter period 2013–2017. The aim of this change was to reduce surgery-related facial nerve injuries, since the availability of CK provides a second-line treatment option in the case of residual tumor growth. Authors demonstrated improved facial nerve outcomes compared to the pre-Cyber Knife era (0% poor outcomes versus 22.8% poor outcomes). …