Referral patterns in vestibular schwannomas --10 years on

Clinical Otolaryngology and Allied Sciences
D A MoffatD M Baguley

Abstract

Diagnostic imaging techniques, symptom awareness and education of local sources of referral in vestibular schwannomas, including general practitioners, have all improved in the last 10 years. The referral patterns in vestibular schwannomas in Cambridgeshire in the period 1981-1993 has been reported.(1) A direct comparison was made with regard to referral patterns seen in the last 10 years paying particular emphasis to source of referral, diagnosis at referral and symptoms/size at presentation. The incidence of vestibular schwannomas in the region is compared and discussed. Patients' managed by the 'watch and wait' policy were particularly scrutinized, as they were not discussed previously. Retrospective analysis of computerized database was used. We have demonstrated an increase in the proportion of referrals with known vestibular schwannoma to 90% of all referrals. No significant change in length of history prior to referral, source of referral or principal presenting symptom were found. An overall decrease in tumour size was found but an increase in the percentage with larger tumours (>4.5 cm). We attribute the significant findings to an increase in availability of magnetic resonance (MR) scanners in the country during the pa...Continue Reading

References

Jan 1, 1989·The Journal of Laryngology and Otology·D A MoffatD M Baguley
Feb 1, 1995·Clinical Otolaryngology and Allied Sciences·D A MoffatD M Baguley
Apr 1, 1993·The Laryngoscope·S H SelesnickL W Pitts
Nov 20, 2002·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·R Y SeedatD A Mol

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Citations

Sep 24, 2008·The Journal of Laryngology and Otology·R AmbettV Rajshekhar
May 2, 2007·Skull Base : Official Journal of North American Skull Base Society ... [et Al.]·Rachel L HumphrissDavid A Moffat
Mar 2, 2011·Clinical Radiology·N Sriskandan, S E J Connor
Oct 21, 2016·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·N DaweS Carrie
Jun 15, 2007·Acta neurochirurgica·E MyrsethM Lund-Johansen
Sep 10, 2005·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·David M BaguleyDavid A Moffat
May 29, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jonas Bruun KjærsgaardDan Dupont Hougaard
Jun 6, 2012·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Ahmed RagabOsama Ebied
Feb 13, 2020·Acta Oto-laryngologica·Raiene Telassin Abbas-KayanoEberval Gadelha Figueiredo
May 31, 2015·Journal of Neuro-oncology·Varun R KshettryJill S Barnholtz-Sloan

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