Tratamiento quirúrgico del schwannoma vestibular. Revisión de 420 casos

Ruiz, Maximino; Álvarez-Morujo, Ricardo José González-Orús; Oviedo, Carlos Martín; Ruiz‐Juretschke, Fernando; Leal, R. García; Yurrita, Bartolomé Scola

doi:10.1016/j.otorri.2015.09.003

Cited by 16 publications

(5 citation statements)

References 26 publications

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“…When the detector alarm indicates that the facial nerves are nearby, gradually decrease the intensity of stimulation, and locate the nerves and their course at the end. Injury to the facial nerves can be reduced in the primary stage of the surgery in this method ( 13 ). The application of real time electrophysiologic monitoring can discover the severe adhesion of the facial nerves, tumor capsule and surrounding tissues, thus effectively protect the facial nerves during surgical resection ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

The medium and long-term effect of electrophysiologic monitoring on the facial nerve function in minimally invasive surgery treating acoustic neuroma

Hou

2018

Exp Ther Med

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The medium and long-term effects of electrophysiologic monitoring on the facial nerve function in minimally invasive surgery treating acoustic neuroma were studied. Sixty-two patients with acoustic neuroma taking minimally invasive surgeries in Dezhou Hospital from August 2014 to September 2015 were selected and randomly divided into 29 cases of the control group and 33 cases of the observation group. Intraoperative electrophysiologic monitoring was applied to the observation group, but not to the control group. The effects of the surgeries were compared. Comparisons on the surgical resection rate and the surgery length between two groups showed no statistical differences (P>0.05); the anatomical and functional preservation rate of facial nerves, as well as the score of survival quality in the observation group prominently proceeded that in the control group, and the differences were statistically significant (P>0.05). In conclusion, the application of the electrophysiologic monitoring on facial nerve function in minimally invasive surgery treating acoustic neuroma can effectively increase the anatomical and functional preservation rate of facial nerves, providing certain clinical significance to the improvement of living quality.

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Section: Discussionmentioning

confidence: 99%

The medium and long-term effect of electrophysiologic monitoring on the facial nerve function in minimally invasive surgery treating acoustic neuroma

Hou

2018

Exp Ther Med

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“…There are three standard surgical approaches: retromastoid suboccipital (retrosigmoid), translabyrinthine, and middle fossa approach (MFA). Although surgery is the treatment of choice for VS, there are many different RT techniques including single-session stereotactic radiosurgery (SRS), fractionated conventional RT, fractionated stereotactic RT (FSRT), and proton therapy [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Hemorrhagic Vestibular Schwannoma: Case Report and Literature Review of Incidence and Risk Factors

Shahbazi¹,

Sabahi²,

Arjipour³

et al. 2020

Cureus

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Hemorrhagic vestibular schwannoma (HVS) consisting of acute intratumoral and subarachnoid hemorrhage presents with acute nausea, vomiting, facial numbness, headache, loss of consciousness, and significant functional impairment of the facial and vestibulocochlear nerves. The current case is of a 31-year-old man who was presented with acute left lateral suboccipital headache, vomiting, ataxia, and loss of consciousness. Brain CT revealed a large iso-intense lesion with internal hematoma at the left cerebellopontine angle in association with internal acoustic canal dilation. In addition, MRI confirmed a 32 x 25 x 26 mm vestibular schwannoma (VS) with 20 x 15 x 5 mm intratumoral hematoma. The patient had undergone left lateral suboccipital craniotomy and microscopic tumor resection. Pathological findings revealed that his lesions were VS. The average incidence of HVS is around 2.15 cases per year worldwide. Therefore, HVS incidence in proportion to VS is very low and consequently rare.

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“…A idade média de maior prevalência do SV se encontra entre a quinta e sexta décadas de vida. As únicas exceções para esse perfil foram observadas nos trabalhos de Bielińska et al 4 e Arístegui et al 12 .…”

Section: Resultsunclassified