Journal
SKULL BASE-AN INTERDISCIPLINARY APPROACH
Volume 17, Issue 5, Pages 281-284Publisher
THIEME MEDICAL PUBL INC
DOI: 10.1055/s-2007-986436
Keywords
vestibular schwannoma; facial nerve; outcome measures
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Objectives: This study sought to determine explicitly whether postsurgical facial nerve outcomes for patients with a cystic component to a vestibular schwannoma were significantly different from those with a solid tumor. Design: Seventy patients who underwent translabyrinthine surgery for a cystic vestibular schwannoma between May 1981 and the present, and who had complete records in our database, were identified. These were compared with a group of patients with solid tumors matched to the study group on the following parameters: House-Brackmann grade at presentation, tumor size, surgical approach, age. Setting: Regional tertiary referral center. Participants: Adult patients with vestibular schwannomas. Main Outcome Measures: House-Brackmann score 2 years following surgery. Results: No significant difference was found between the two groups. Conclusions: The perceived difference in outcomes between cystic and solid vestibular schwannomas cannot be demonstrated when confounding factors such as tumor size are taken into account.
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