How to Address Small- and Medium-Sized Acoustic Neuromas with Hearing: A Systematic Review and Decision Analysis

World Neurosurgery
Weiming LiuGuijun Jia

Abstract

Small- and medium-sized acoustic neuromas (ANs) increase in both number and proportion. Observation, radiosurgery, and microsurgery are all used to treat this disease; however, the appropriate treatment is controversial, especially in patients with hearing. We searched the MEDLINE, EMBASE, CENTRAL (Cochrane Central Register of Con-trolled Trials), LILACS (Latin American and Caribbean Center on Health Sciences Information), and CMB (Chinese Biomedical Database) databases without limits on the language and the time of publication. For the wait-and-scan strategy, we included the population-based prospective studies with sufficient follow-up time and information. We also attempted to locate high-level evidence that compared radiosurgery with microsurgery. The data were extracted from the studies to synthesize the probabilities. We surveyed 60 patients with small- and medium-sized ANs to plot the outcomes on a linear scale to measure the utility. Eight studies met the inclusion criteria of the wait-and-scan strategy, and 3 grade II evidence studies were found that compared microsurgery with radiosurgery. After synthesizing the data in 3 groups, the preservation of useful hearing was 58.9%, 60.2%, and 4.3%, whereas the rate of tumor ...Continue Reading

References

Jan 1, 1988·The Annals of Otology, Rhinology, and Laryngology·G Gardner, J H Robertson
Oct 1, 1993·Journal of Neurosurgery·S J Haines, S C Levine
Nov 13, 1998·The New England Journal of Medicine·D KondziolkaJ C Flickinger
Jul 26, 2000·Acta Oto-laryngologica. Supplementum·F MirzE Lundorf
Apr 20, 2001·The Annals of Otology, Rhinology, and Laryngology·E M StipkovitsF J Beek
Nov 27, 2002·Journal of Neurosurgery·Jean RégisJean Claude Peragut
Jul 10, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Daniel J LeeWilliam H Slattery
Mar 23, 2005·Archives of Otolaryngology--head & Neck Surgery·Doris LinRobert K Jackler
Aug 27, 2005·Journal of Neurosurgery·Yuhei Yoshimoto
Sep 14, 2007·Acta Oto-laryngologica·Anita JeyakumarPaul Dutcher
Dec 20, 2007·The Journal of Laryngology and Otology·S-E StangerupJ Thomsen
Jun 19, 2008·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·D HajioffJ A Rutka
Sep 15, 2009·Journal of Neurosurgery·Isaac YangAndrew T Parsa
Jul 16, 2010·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Michael E SughrueAndrew T Parsa
Jan 24, 2012·Journal of Neurosurgery·Jobin Kotakkathu VarugheseMorten Lund-Johansen
Sep 4, 2012·Neurosurgical Focus·Douglas KondziolkaL Dade Lunsford
Dec 30, 2014·The Laryngoscope·Matthew L CarlsonMichael J Link

❮ Previous
Next ❯

Citations

Feb 16, 2016·Neurologia Medico-chirurgica·Ayako HoribaYoshikazu Okada
Nov 3, 2016·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Kerstin A KesselStephanie E Combs
Jan 11, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Anthony M Tolisano, Philip D Littlefield
Aug 11, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Elias YounesJean Pierre Lavieille
Aug 18, 2018·AORN Journal·Kristen A Oster
Dec 9, 2016·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Florian PutzSebastian Lettmaier
Sep 7, 2018·Neurosurgery·Christian Iorio-MorinDavid Mathieu
Sep 20, 2018·Acta neurochirurgica·Amrit K ChiluwalAmir R Dehdashti

❮ Previous
Next ❯

Related Concepts

Related Feeds

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.