• Otolaryngol. Clin. North Am. · Jun 2015

    Review

    Management of sporadic vestibular schwannoma.

    • Matthew L Carlson, Michael J Link, George B Wanna, and Colin L W Driscoll.
    • Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: carlson.matthew@mayo.edu.
    • Otolaryngol. Clin. North Am. 2015 Jun 1; 48 (3): 407-22.

    AbstractVestibular 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. Copyright © 2015 Elsevier Inc. All rights reserved.

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