期刊
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA
卷 48, 期 3, 页码 407-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.otc.2015.02.003
关键词
Vestibular schwannoma; Acoustic neuroma; Cerebellopontine angle; Internal auditory canal; Skull base
Vestibular schwannomas (VS) comprise 8% of all intracranial tumors and 90% of cerebellopontine angle and internal auditory canal neoplasms. Secondary to the widespread adoption of screening protocols for asymmetrical hearing loss and the increasing use of advanced imaging, the number of VS diagnosed each year continues to rise, while the average size has declined. Microsurgery remains the treatment of choice for large tumors, however the management of small- to medium-sized VS remains highly controversial with options including observation, radiotherapy, or microsurgery. Within this chapter, the authors provide an overview of the contemporary management of VS, reviewing important considerations and common controversies.
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