Title:
Multidisciplinary management of vestibular schwannomas: state of the art
Authors:
T. Somers* and T. Van Havenbergh**
Institutions:
Antwerp Skull base team, *Department of ENT and **Department of Neurosurgery, Sint-Augustinus Hospital, Wilrijk, Antwerp, Belgium
Keywords:
Vestibular schwannoma (VS); multidisciplinary management; treatment algorithm; wait and scan for VS; surgery for VS; radiosurgery for VS
Pages:
235 - 240
Abstract:
Multidisciplinary management of vestibular schwannomas: state of the art. The preferred setting for the treat- ment for vestibular schwannoma these days is multidisciplinary and multimodal. A balance has to be struck between a wait-and-scan attitude and a more active approach (surgery or radiotherapy). An initial wait-and-scan attitude is a reasonable management option because many tumours do not grow during a prolonged period of observation. The dif- ferent surgical approaches may or may not involve attempts to preserve hearing. Stereotactic radiotherapy as treatment of choice is often considered in the elderly patient presenting with a vestibular schwannoma smaller than 2.5 cm with documented growth. This paper will review current treatment modalities and the respective pros and cons. A decisional algorithm as currently adopted by our skull base team is presented at the end of the paper.
Issue:
Vol. 8, 2012, 4th trimester


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Multidisciplinary management of vestibular schwannomas: state of the art