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Management of Vestibular Schwannomas

  • Chapter
Combined Modality Therapy of Central Nervous System Tumors

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

The modern management of vestibular schwannomas represents a triumph of surgery and medicine. What was once a fatal disease with an almost equally fatal treatment is now curable with relatively little morbidity or mortality.

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References

  • Arriaga MA, Luxford WM, et al. (1994) Facial nerve unction following middle fossa and translabyrinthine acoustic tumor surgery: a comparison. Am J Otol 15(5):620–624

    PubMed  CAS  Google Scholar 

  • Brackmann DE (1992) Middle fossa approach for acoustic tumor removal. Clin Neurosurg 38: 603–618.

    PubMed  CAS  Google Scholar 

  • Brackmann DE and Green JD (1992) Translabyrinthine approach for acoustic tumor removal. Otolaryngol Clin North Am 25(2): 311–329

    PubMed  CAS  Google Scholar 

  • Brackmann DE, House JR.3rd, et al. (1994) Technical modifications to the middle fossa craniotomy approach in removal of acoustic neuromas.” Am J Otol 15(5): 614–9.

    PubMed  CAS  Google Scholar 

  • Cushing H (1921) Further Concerning the Acoustic Neuromas. Laryngoscope 31(4): 209–228

    Article  Google Scholar 

  • Deen HG, Ebersold MJ, et al. (1996) Conservative management of acoustic neuroma: an outcome study. Neurosurgery 39(2): 260–4; discussion 264–266

    Article  Google Scholar 

  • DiTullio MV,Jr., Malkasian D, et al. (1978) A critical comparison of neurosurgical and otolaryngological approaches to acoustic neuromas. J Neurosurg 48(1): 1–12.

    Article  PubMed  Google Scholar 

  • Ebersold MJ, Harner SG, et al. (1992) Current results of the retrosigmoid approach to acoustic neurinoma [see comments]. J Neurosurg 76(6): 901–909

    Article  PubMed  CAS  Google Scholar 

  • Flickinger JC (1999) Observation versus early stereotactic radiotherapy of acoustic neuroma: what are you waiting for? [editorial; comment]. Int J Radiat Oncol Biol Phys 44(3): 481–482

    Article  PubMed  CAS  Google Scholar 

  • Flickinger JC, Kondziolka D, et al. (1998) Clinical applications of stereotactic radiosurgery. Cancer Treat Res 93: 283–297

    Article  PubMed  CAS  Google Scholar 

  • Flickinger JC, Kondziolka D, et al. (1996) Evolution in technique for vestibular schwannoma radiosurgery and effect on outcome. Int J Radiat Oncol Biol Phys 36(2): 275–280

    Article  PubMed  CAS  Google Scholar 

  • Flickinger JC, Lunsford LD, et al. (1991) Radiosurgery of acoustic neurinomas. Cancer 67(2): 345–353

    Article  PubMed  CAS  Google Scholar 

  • Flickinger JC, Lunsford LD, et al. (1993) Gamma knife radiosurgery for acoustic tumors: multivariate analysis of four year results. Radiother Oncol 27(2): 91–98

    Article  PubMed  CAS  Google Scholar 

  • Fucci MJ, Buchman CA, et al. (1999). Acoustic tumor growth: implications for treatment choices. Am J Otol 20(4): 495–499.

    PubMed  CAS  Google Scholar 

  • Gardner G and Robertson JH (1988) Hearing preservation in unilateral acoustic neuroma surgery. Ann Otol Rhinol Laryngol 97(1): 55–66

    PubMed  CAS  Google Scholar 

  • Gardner G, Robertson JH, et al. (1983) 105 patients operated upon for cerebellopontine angle tumors – experience using combined approach and CO2 laser.” Laryngoscope 93(8): 1049–1055.

    Article  PubMed  CAS  Google Scholar 

  • Giannotta SL (1992) Translabyrinthine approach for removal of medium and large tumors of the cerebellopontine angle. Clin Neurosurg 38: 589–602

    PubMed  CAS  Google Scholar 

  • Gormley WB, Sekhar LN, et al. (1997) Acoustic neuromas: results of current surgical management [see comments]. Neurosurgery 41(1): 50–8; discussion 58–60

    Article  Google Scholar 

  • Haberkamp TJ, Meyer GA, et al. (1998). Surgical exposure of the fundus of the internal auditory canal: anatomic limits of the middle fossa versus the retrosigmoid transcanal approach. Laryngoscope 108(8 Pt 1): 1190–1194

    Article  PubMed  CAS  Google Scholar 

  • Haines SJ and Levine SC (1993) Intracanalicular acoustic neuroma: early surgery for preservation of hearing. J Neurosurg 79(4): 515–520

    Article  PubMed  CAS  Google Scholar 

  • Hardy DG, Macfarlane R, et al. (1989) Surgery for acoustic neurinoma. An analysis of 100 translabyrinthine operations [see comments]. J Neurosurg 71(6): 799–804

    Article  PubMed  CAS  Google Scholar 

  • House HP and House WF (1964) Historical Review and Problem of Acoustic Neuroma. Archives of Otolaryngology 80: 601–605

    Article  PubMed  CAS  Google Scholar 

  • House JW (1983) Facial nerve grading systems. Laryngoscope 93(8): 1056–1069

    Article  PubMed  CAS  Google Scholar 

  • House WF (1964) Evolution of Transtemporal Bone Removal of Acoustic Tumors. Archives of Otolaryngology 80: 731–742

    Article  PubMed  CAS  Google Scholar 

  • House WF and Hitselberger WE (1964) Morbidity and Mortality of Acoustic Neuromas. Archives of Otolaryngology 80: 752–756

    Article  PubMed  CAS  Google Scholar 

  • Jackler RK (1994) Acoustic Neuroma. Neurotology. 1: 729–785 King TT and Morrison AW (1980) Translabyrinthine and transtentorial removal of acoustic nerve tumors. Results in 150 cases. J Neurosurg 52(2): 210–216

    Google Scholar 

  • Kondziolka D and Lunsford LD (1993) Preservation of hearing in acoustic neurinoma surgery [letter; comment]. J Neurosurg 78(1): 154–156

    PubMed  CAS  Google Scholar 

  • Kondziolka D, Lunsford LD, et al. (1998) Long-term outcomes after radiosurgery for acoustic neuromas [see comments]. N Engl J Med 339(20): 1426–1433

    Article  PubMed  CAS  Google Scholar 

  • Lanman TH, Brackmann DE, et al. (1999) Report of 190 consecutive cases of large acoustic tumors (vestibular schwannoma) removed via the translabyrinthine approach. J Neurosurg 90(4): 617–623

    Article  PubMed  CAS  Google Scholar 

  • Leksell L. (1983) Stereotactic radiosurgery. J Neurol Neurosurg Psychiatry 46(9): 797–803

    Article  PubMed  CAS  Google Scholar 

  • Linskey ME, Lunsford LD, et al. (1990) Radiosurgery for acoustic neurinomas: early experience. Neurosurgery:26 (5) 736–44; discussion 744–745

    Google Scholar 

  • Lunsford LD, Kamerer DB, et al. (1990) Stereotactic radiosurgery for acoustic neuromas. Arch Otolaryngol Head Neck Surg 116(8): 907–909

    Article  PubMed  CAS  Google Scholar 

  • Management of Vestibular Schwannomas 249 Lunsford LD, Kondziolka D, et al. (1992) Radiosurgery as an alternative to microsurgery of acoustic tumors. Clin Neurosurg 38: 619–634

    PubMed  CAS  Google Scholar 

  • Lunsford LD and Linskey ME (1992) Stereotactic radiosurgery in the treatment of patients with acoustic tumors. Otolaryngol Clin North Am 25(2): 471–491

    PubMed  CAS  Google Scholar 

  • Miller RC, Foote RL, et al. (1999) Decrease in cranial nerve complications after radiosurgery for acoustic neuromas: a prospective study of dose and volume. Int J Radiat Oncol Biol Phys 43(2): 305–311

    Article  PubMed  CAS  Google Scholar 

  • Niranjan A, Lunsford LD, et al. (1999) Dose reduction improves hearing preservation rates after intracanalicular acoustic tumor radiosurgery. Neurosurgery 45(4): 753–62; discussion 762–765

    Article  Google Scholar 

  • Noren G, Arndt J, et al. (1983) Stereotactic radiosurgery in cases of acoustic neurinoma: further experiences. Neurosurgery 13(1): 12–22

    Article  PubMed  CAS  Google Scholar 

  • Ogunrinde OK, Lunsford DL, et al. (1995) Cranial nerve preservation after stereotactic radiosurgery of intracanalicular acoustic tumors. Stereotact Funct Neurosurg 64(Suppl 1): 87–97

    PubMed  Google Scholar 

  • Pendl G, Ganz JC, et al. (1996) Acoustic neurinomas with macrocysts treated with Gamma Knife radiosurgery. Stereotact Funct Neurosurg 66(Suppl 1): 103–111

    Article  PubMed  Google Scholar 

  • Pollock BE, Lunsford LD, et al. (1998a) Vestibular schwannoma management. Part I. Failed microsurgery and the role of delayed stereotactic radiosurgery. J Neurosurg 89(6): 944–948

    Article  CAS  Google Scholar 

  • Pollock BE, Lunsford LD, et al. (1998b) Vestibular schwannoma management. Part II. Failed radiosurgery and the role of delayed microsurgery. J Neurosurg 89(6): 949–955

    Article  PubMed  CAS  Google Scholar 

  • Pollock BE, Lunsford LD, et al. (1998c) Vestibular schwannoma management in the next century: a radiosurgical perspective. Neurosurgery 43(3): 475–481; discussion 481–483

    Article  Google Scholar 

  • Rhoton AL, Jr. and Tedeschi H (1992) Microsurgical anatomy of acoustic neuroma. Otolaryngol Clin North Am 25(2): 257–294

    PubMed  Google Scholar 

  • Samii M and Matthies C (1997) Management of 1000 vestibular schwannomas (acoustic neuromas): hearing function in 1000 tumor resections. Neurosurgery 40(2): 248–260; discussion 260–262

    Article  PubMed  CAS  Google Scholar 

  • Samii M, Matthies C, et al. (1991) Intracanalicular acoustic neurinomas. Neurosurgery 29(2): 189–198; discussion 198–199

    Article  PubMed  CAS  Google Scholar 

  • Shelton C (1992) Hearing preservation in acoustic tumor surgery. Otolaryngol Clin North Am 25(3): 609–621

    PubMed  CAS  Google Scholar 

  • Shelton C (1995) Unilateral acoustic tumors: how often do they recur after translabyrinthine removal? Laryngoscope 105(9 Pt 1): 958–966

    Article  PubMed  CAS  Google Scholar 

  • Shelton C, Brackmann DE, et al. (1989a) Acoustic tumor surgery. Prognostic factors in hearing conversation. Arch Otolaryngol Head Neck Surg 115(10): 1213–1216

    Article  CAS  Google Scholar 

  • Shelton C, Brackmann DE, et al. (1989b) Middle fossa acoustic tumor surgery: results in 106 cases. Laryngoscope 99(4): 405–408

    Article  CAS  Google Scholar 

  • Shelton C, Hitselberger WE, et al. (1990) Hearing preservation after acoustic tumor removal: long-term results. Laryngoscope 100(2 Pt 1): 115–119

    PubMed  CAS  Google Scholar 

  • Shelton C and House WF (1990) Hearing improvement after acoustic tumor removal. Otolaryngol Head Neck Surg 103(6): 963–965

    PubMed  CAS  Google Scholar 

  • Slattery WH,3rd, and Brackmann DE (1995) Results of surgery following stereotactic irradiation for acoustic neuromas. Am J Otol 16(3): 315–319; discussion 319–321

    PubMed  Google Scholar 

  • Slattery WH,3rd, Brackmann DE, et al. (1997). Middle fossa approach for hearing preservation with acoustic neuromas [published erratum appears in Am J Otol 1997 Nov;18(6):796]. Am J Otol 18(5): 596–601.

    Google Scholar 

  • Stone JL (1999). Sir Charles Ballance: pioneer British neurological surgeon. Neurosurgery 44(3):610–631; discussion 631–632

    Article  PubMed  CAS  Google Scholar 

  • Tatagiba M, Samii M, et al. (1992) The significance for postoperative hearing of preserving the labyrinth in acoustic neurinoma surgery. J Neurosurg 77(5): 677–684

    Article  PubMed  CAS  Google Scholar 

  • Tedeschi, H. and A. L. Rhoton, Jr. (1994) Lateral approaches to the petroclival region. Surg Neurol 41(3): 180–216

    Article  PubMed  CAS  Google Scholar 

  • Umezu H and Aiba T (1994) Preservation of hearing after surgery for acoustic schwannomas: correlation between cochlear nerve function and operative findings. J Neurosurg 80(5): 844–848

    Article  PubMed  CAS  Google Scholar 

  • Umezu H, Aiba T, et al. (1996) Early and late postoperative hearing preservation in patients with acoustic neuromas. Neurosurgery 39(2): 267–71; discussion 271–272

    Article  Google Scholar 

  • Wiet RJ, Zappia JJ, et al. (1995) Conservative management of patients with small acoustic tumors. Laryngoscope 105(8 Pt 1): 795–800

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Sanjay Ghosh
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  2. Steven Giannotta
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Editor information

Editors and Affiliations

  1. Department of Radiation Oncology, University of Southern California, Keck School of Medicine 1441 Eastlake Avenue, Room G356, Los Angeles, CA, 90033-0804, USA

    Zbigniew Petrovich MD, FACR (Professor and Chairman) (Professor and Chairman)

  2. Department of Radiation Oncology, Hahnemann University Hospital, Broad & Vine Sts., Mail Stop 200, Philadelphia, PA, 19102, USA

    Luther W. Brady MD (Hylda Cohn/ American Cancer Society Professor of Clinical Oncology and Professor) (Hylda Cohn/ American Cancer Society Professor of Clinical Oncology and Professor)

  3. Keck School of Medicine of the University of Southern California, Los Angeles, CA, 90033, USA

    Michael L. J. Apuzzo MD (Edwin M. Todd/Trent H. Wells, Jr. Professor of Neurological Surgery and Professor of Radiation Oncology) (Edwin M. Todd/Trent H. Wells, Jr. Professor of Neurological Surgery and Professor of Radiation Oncology)

  4. Department of Radiotherapy, Eberhard-Karls-Universität, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany

    Michael Bamberg MD

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© 2003 Springer-Verlag Berlin Heidelberg

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Ghosh, S., Giannotta, S. (2003). Management of Vestibular Schwannomas. In: Petrovich, Z., Brady, L.W., Apuzzo, M.L.J., Bamberg, M. (eds) Combined Modality Therapy of Central Nervous System Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56411-6_12

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  • DOI: https://doi.org/10.1007/978-3-642-56411-6_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-00627-5

  • Online ISBN: 978-3-642-56411-6

  • eBook Packages: Springer Book Archive

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