Selection of surgical approach to acoustic neuroma (Reprinted from Otolaryngologic Clinics of NA vol 25, pg 361-388, 1992)

A variety of surgical approaches are available in the management of acoustic neuroma. Each procedure has certain advantages and disadvantages in terms of surgical exposure, the capability of preserving cranial nerve function, and postoperative morbidity. This article advocates tailoring the operative approach to each acoustic neuroma according to its size, location, and clinical manifestations.