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Journal of Neuro-Oncology

Erschienen in:

20.09.2016 | Topic Review

Microsurgical resection of vestibular schwannomas: complication avoidance

verfasst von: Shervin Rahimpour, Allan H. Friedman, Takanori Fukushima, Ali R. Zomorodi

Erschienen in: Journal of Neuro-Oncology | Ausgabe 2/2016

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Abstract

Vestibular schwannoma (VS) surgery requires appropriate patient selection, meticulous microsurgical technique and optimal post-operative care. Focused radiation is an effective alternative for the treatment of smaller VSs. For VS surgery to remain a reasonable option, surgery must be performed with a limited number of complications. Complication rates for VS surgery have increased over the last decade. This is likely due to (1) decreased surgical volume and as a result decreased microsurgical experience, (2) larger tumors undergoing surgery while smaller tumors are reserved for radiation, and (3) surgery for previously radiated tumors resulting in more difficult anatomic dissection. Appropriate management of complications is paramount. Herein, we discuss complications related to VS microsurgery and methods of avoidance. Specifically, we discuss the most frequently encountered complications, intraoperative monitoring and finally, methods of addressing these complications. With meticulous microsurgical technique, careful intraoperative monitoring and vigilant perioperative care one will ensure optimal patient outcomes.

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Titel: Microsurgical resection of vestibular schwannomas: complication avoidance
verfasst von: Shervin Rahimpour
Allan H. Friedman
Takanori Fukushima
Ali R. Zomorodi
Publikationsdatum: 20.09.2016
Verlag: Springer US
Erschienen in: Journal of Neuro-Oncology / Ausgabe 2/2016
Print ISSN: 0167-594X
Elektronische ISSN: 1573-7373
DOI: https://doi.org/10.1007/s11060-016-2260-4

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