Management of sporadic vestibular schwannoma

Matthew L Carlson; Michael J Link; George B Wanna; Colin L W Driscoll

doi:10.1016/j.otc.2015.02.003

Management of sporadic vestibular schwannoma

Otolaryngol Clin North Am. 2015 Jun;48(3):407-22. doi: 10.1016/j.otc.2015.02.003. Epub 2015 Apr 15.

Authors

Matthew L Carlson¹, Michael J Link², George B Wanna³, Colin L W Driscoll²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: carlson.matthew@mayo.edu.
² Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Neurologic Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
³ Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, TN 37232, USA.

PMID: 25886814
DOI: 10.1016/j.otc.2015.02.003

Abstract

Vestibular schwannomas (VS) comprise 8% of all intracranial tumors and 90% of cerebellopontine angle and internal auditory canal neoplasms. Secondary to the widespread adoption of screening protocols for asymmetrical hearing loss and the increasing use of advanced imaging, the number of VS diagnosed each year continues to rise, while the average size has declined. Microsurgery remains the treatment of choice for large tumors, however the management of small- to medium-sized VS remains highly controversial with options including observation, radiotherapy, or microsurgery. Within this chapter, the authors provide an overview of the contemporary management of VS, reviewing important considerations and common controversies.

Keywords: Acoustic neuroma; Cerebellopontine angle; Internal auditory canal; Skull base; Vestibular schwannoma.

Publication types

Review

MeSH terms

Cerebellopontine Angle / surgery*
Disease Management
Ear, Inner / surgery*
Hearing Loss
Humans
Magnetic Resonance Imaging
Microsurgery / methods*
Neuroma, Acoustic / surgery*
Quality of Life
Treatment Outcome