Microsurgical management of vestibular schwannoma after failed previous surgery

Journal of Neurosurgery
Madjid SamiiVenelin Gerganov

Abstract

OBJECTIVE Microsurgical treatment of recurrent vestibular schwannoma (VS) is difficult and poses specific challenges. The authors report their experience with 53 cases of surgically treated recurrent VS. Outcome of these tumors was compared to that of primarily operated on VS. Special attention was given to the facial nerve functional outcome. METHODS A retrospective analysis was performed of the patients who underwent surgery for recurrent VS at one institution from 2000 to 2013. The preoperative data, intraoperative findings, and outcome in terms of facial nerve function and improvement of the preoperative symptoms were analyzed and compared with those in a control group of 30 randomly selected patients with primarily operated on VS. A multivariate regression analysis was performed to test the factors that could affect the facial nerve outcome in each group. RESULTS Fifty-three consecutive patients underwent surgery for recurrent VS. Seventeen patients were previously operated on and received postoperative radiosurgery (Group A). Thirty-six patients were previously operated on but did not receive postoperative radiosurgery (Group B). The overall postoperative facial nerve function was significantly worse in Groups A and B in ...Continue Reading

References

Jan 1, 1991·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J L KeminkM D Graham
Apr 1, 1985·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J W House, D E Brackmann
May 23, 2000·The American Journal of Otology·H K El-KashlanS A Telian
Jan 17, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Dov C BlochLawrence H Pitts
Jan 6, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Aftab H Patni, Jack M Kartush
Oct 14, 2005·The Laryngoscope·Rick A FriedmanKaren I Berliner
Sep 5, 2007·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Ricardo RaminaPaulo Henrique Pires Aguiar
Nov 29, 2007·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Simon Richard Mackenzie FreemanAndrew Thomas King
Feb 7, 2008·Acta neurochirurgica·T ShutoH Fujino
Sep 24, 2008·Progress in Neurological Surgery·Pierre-Hugues RocheJean-Marc Thomassin
Sep 24, 2008·Progress in Neurological Surgery·Bruce E Pollock, Michael J Link
Nov 4, 2008·Journal of Neurosurgery·Osamu NaganoNaokatsu Saeki
Mar 12, 2009·Acta neurochirurgica·Roman LiscakJosef Vymazal
Aug 12, 2009·Journal of Neurosurgery·Madjid SamiiAmir Samii
Sep 8, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Rick A FriedmanDerald E Brackmann
Jan 24, 2012·Journal of Neurosurgery·Venelin M GerganovMadjid Samii
Apr 10, 2012·Otolaryngologic Clinics of North America·Pierre-Hugues RocheJean Régis
Dec 18, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Bujung HongMakoto Nakamura

❮ Previous
Next ❯

Citations

Nov 21, 2019·Neurology India·Basant Kumar Misra, Omkar N Churi
Jun 9, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Avital PerryMichael J Link
Jan 5, 2021·Frontiers in Oncology·Łukasz PrzepiórkaAndrzej Marchel
Jan 26, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Alexander L LuryiChristopher A Schutt
Dec 15, 2020·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Stephanie E CombsGiuseppe Minniti
May 29, 2021·BMJ Case Reports·Frank Kouzel MartinezMichael J Link

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

Excel

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.