scholarly journals Preservation of Hearing and Facial Nerve Function with the Microsurgical Excision of Large Vestibular Schwannomas: Experience with the Retrosigmoid Approach

Cureus ◽  
2018 ◽  
Author(s):  
Muhammad Shaheryar Ahmed Rajput ◽  
Ahmad Nawaz Ahmad ◽  
Asif Ali Arain ◽  
Mohammad Adeel ◽  
Saeed Akram ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Retrosigmoid Approach ◽  
Vestibular Schwannomas ◽  
Nerve Function ◽  
Facial Nerve Function

“Large and giant vestibular schwannomas: overall outcomes and the factors influencing facial nerve function”

2020 ◽  
Author(s):  
Golda Grinblat ◽  
Manjunath Dandinarasaiah ◽  
Itzak Braverman ◽  
Abdelkader Taibah ◽  
Dario Giuseppe Lisma ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Vestibular Schwannomas ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Factors Influencing

Middle Fossa Approach for Resection of Vestibular Schwannomas: A Decade of Experience

2018 ◽  
Vol 16 (2) ◽  
pp. 147-158 ◽  
Author(s):  
Jennifer A Kosty ◽  
Shawn M Stevens ◽  
Yair M Gozal ◽  
Vincent A DiNapoli ◽  
Smruti K Patel ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Tumor Size ◽  
Pure Tone ◽  
Vestibular Schwannomas ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Pure Tone Average ◽  
Class A ◽  
The Mean

AbstractBACKGROUNDThe middle cranial fossa (MCF) approach is a challenging surgical technique for the resection of small and intermediate sized, primarily intracanalicular, vestibular schwannomas (VS), with the goal of hearing preservation (HP).OBJECTIVETo describe a decade-long, single institutional experience with the MCF approach for resection of VS.METHODSThis is a retrospective cohort study of 63 patients who underwent the MCF approach for resection of VS from 2006 to 2016. Audiometric data included pure-tone average (PTA), low-tone pure-tone average (LtPTA), word recognition score, and American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) hearing classification at presentation and follow-up. Patients with postoperative serviceable (AAO-HNS class A-B) and/or useful (AAO-HNS class A-C) hearing were compared to those without HP. Facial nerve function was assessed using the House–Brackmann scale.RESULTSThe mean age and duration of follow-up were 50 ± 13 yr and 21 ± 21 mo, respectively. The mean tumor size was 10 ± 4 mm. The serviceable and usable HP rates were 54% and 50%, respectively. Some residual hearing was preserved in 71% of patients. Large tumor size (P = .05), volume (P = .03), and extrameatal tumor extension (P = .03) were associated with poor audiometric outcomes. The presence of a fundal fluid cap (P = .01) was a favorable finding. At definitive testing, LtPTA was significantly better preserved than traditional PTA (P = .01). Facial nerve outcomes, tumor control rates, and durability of audiometric outcomes were excellent. 47% of patients pursued aural rehabilitation.CONCLUSIONIn our series, the MCF approach for VS provided excellent rates of tumor and facial nerve function, with durable serviceable HP.

scholarly journals Facial nerve function and hearing after microsurgical removal of sporadic vestibular schwannomas in a population-based cohort

2019 ◽  
Vol 162 (1) ◽  
pp. 43-54 ◽  
Author(s):  
Ismail Taha ◽  
Antti Hyvärinen ◽  
Antti Ranta ◽  
Olli-Pekka Kämäräinen ◽  
Jukka Huttunen ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Population Based ◽  
Vestibular Schwannomas ◽  
Nerve Function ◽  
Facial Nerve Function

Facial Nerve Function and Risk Factors in Resection of Large Cystic Vestibular Schwannomas

2020 ◽  
Author(s):  
Daniela Stastna ◽  
Richard Mannion ◽  
Patrick Axon ◽  
Neil Donnelly ◽  
James Tysome ◽  
...  
Keyword(s):  
Risk Factors ◽  
Facial Nerve ◽  
Vestibular Schwannomas ◽  
Nerve Function ◽  
Facial Nerve Function
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