A Cross-sectional Survey of the North American Skull Base Society on Vestibular Schwannoma, Part 2: Perioperative Practice Patterns of Vestibular Schwannoma in North America

Journal of Neurological Surgery. Part B, Skull Base
Jamie J Van GompelMichael J Link

Abstract

Introduction  Perioperative care of vestibular schwannoma (VS) patients is extremely variable across surgeons and institutions making practice patterns difficult to standardize. No data currently exist detailing this practice variability. Methods  The North American Skull Base Society membership was electronically surveyed regarding perioperative care of surgically operated VS patients. Results  There were 87 respondents to the survey. Surgical positioning, surgical approach utilized, and perioperative medical adjuncts are quite variable. However, of those performing retrosigmoid approaches, 49% perform this in the supine position, while 33% use a park-bench position with only 2% using the sitting position. In those performing translabyrinthine approaches, 86% perform this in supine position. Although the use of neuromonitoring appears to be standard of care (98%), other than the seventh nerve, there is substantial variability between respondents regarding monitoring of additional cranial nerves. Postoperative antibiotics are used by 65%, postoperative steroids 81%, and postoperative chemical deep vein thrombosis prophylaxis in 68% of survey respondents. Conclusion  Although the perioperative adjuncts to VS surgery are variable...Continue Reading

Citations

Dec 1, 2020·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Trung TonGeorgios Kontorinis
Jan 26, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew L CarlsonChung Ping Yu
Jan 26, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Kareem O TawfikRoberto A Cueva
Oct 22, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Matthew L CarlsonJacob B Hunter
Dec 11, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ronald S BukoskiDaniel H Coelho
Nov 15, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Eric M DowlingMatthew L Carlson
Aug 31, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Robert J MacielakMatthew L Carlson
Mar 30, 2021·Journal of Neurological Surgery. Part B, Skull Base·Robert J MacielakOliver F Adunka
Jul 2, 2021·Laryngoscope Investigative Otolaryngology·Mark C DoughertyMarlan R Hansen
Sep 26, 2020·American Journal of Otolaryngology·John P MarinelliMatthew L Carlson
Dec 3, 2021·The Laryngoscope·Katherine P WalleriusMatthew L Carlson

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