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Acoustic Schwannoma

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Principles and Practice of Stereotactic Radiosurgery

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Abstract

Acoustic schwannomas are benign tumors that originate from Schwann cells surrounding the vestibular (eighth) nerve, usually within the internal auditory canal [1]. As the tumor enlarges, it fills the canal and extends into the cerebellopontine angle. Acoustic schwannomas are relatively uncommon with an incidence of approximately 1 new case per 100,000 [1]. The mean age at diagnosis is approximately 45 to 47 years, and there is a slight female preponderance [2].

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References

  1. Wiegand DA, Ojemann RG, Fickel V. Surgical treatment of acoustic neuroma (vestibular schwannoma) in the United States: report from the Acoustic Neuroma Registry. Laryngoscope 1996; 106:58–66.

    Article  CAS  PubMed  Google Scholar 

  2. Matthies C, Samii M. Management of 1000 vestibular schwannomas (acoustic neuromas): Clinical presentation. Neurosurgery 1997; 40:1–10.

    Article  CAS  PubMed  Google Scholar 

  3. Abaza MM, Makariou E, Armstrong M, Lalwani AK. Growth rate characteristics of acoustic neuromas associated with neurofibromatosis type 2. Laryngoscope 1996; 106:694–699.

    Article  CAS  PubMed  Google Scholar 

  4. Friedman WA, Buatti JM, Bova FJ, Mendenhall WM. Linac Radiosurgery: A Practical Guide. New York: Springer-Verlag, 1998:1–176.

    Google Scholar 

  5. Szumacher E, Schwartz ML, Tsao M, et al. Fractionated stereotactic radiotherapy for the treatment of vestibular schwannomas: Combined experience of the Toronto-Sunnybrook Regional Cancer Centre and the Princess Margaret Hospital. Int J Radiat Oncol Biol Phys 2002; 53:987–991.

    PubMed  Google Scholar 

  6. Mendenhall WM, Amdur RJ, Hinerman RW, et al. Radiotherapy and radiosurgery for skull base tumors. Otolaryngol Clin North Am 2001; 34:1065–1077.

    Article  CAS  PubMed  Google Scholar 

  7. Condra KS, Buatti JM, Mendenhall WM, et al. Benign meningiomas: primary treatment selection affects survival. Int J Radiat Oncol Biol Phys 1997; 39:427–436.

    CAS  PubMed  Google Scholar 

  8. Hinerman RW, Mendenhall WM, Amdur RJ, et al. Definitive radiotherapy in the management of chemodectomas arising in the temporal bone, carotid body, and glomus vagale. Head Neck 2001; 23:363–371.

    Article  CAS  PubMed  Google Scholar 

  9. Parsons JT, McCarty PJ, Rao PV, et al. On the definition of local control (Editorial). Int J Radiat Oncol Biol Phys 1990; 18:705–706.

    CAS  PubMed  Google Scholar 

  10. Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958; 53:457–481.

    Article  Google Scholar 

  11. SAS Institute Inc. SAS OnlineDoc(r) version 9. Cary, NC: SAS Institute Inc., 2003.

    Google Scholar 

  12. Strasnick B, Glasscock ME III, Haynes D, et al. The natural history of untreated acoustic neuromas. Laryngoscope 1994; 104:1115–1119.

    Article  CAS  PubMed  Google Scholar 

  13. Wiet RJ, Zappia JJ, Hecht CS, O’Connor CA. Conservative management of patients with small acoustic tumors. Laryngoscope 1995; 105:795–800.

    Article  CAS  PubMed  Google Scholar 

  14. Deen HG, Ebersold MJ, Harner SG, et al. Conservative management of acoustic neuroma: an outcome study. Neurosurgery 1996; 39:260–266.

    Article  CAS  PubMed  Google Scholar 

  15. Rosenberg SI. Natural history of acoustic neuromas. Laryngoscope 2000; 110:497–508.

    Article  CAS  PubMed  Google Scholar 

  16. Sakamoto T, Fukuda S, Inuyama Y. Hearing loss and growth rate of acoustic neuromas in follow-up observation policy. Auris Nasus Larynx 2001; 28:S23–S27.

    Article  PubMed  Google Scholar 

  17. Arriaga MA, Carrier D, Houston GD. False-positive magnetic resonance imaging of small internal auditory canal tumors: a clinical, radiologic, and pathologic correlation study. Otolaryngol Head Neck Surg 1995; 113:61–70.

    Article  CAS  PubMed  Google Scholar 

  18. Dandy WE. Results of removal of acoustic tumors by the unilateral approach. Arch Surg 1941; 42:1026–1033.

    Google Scholar 

  19. Harner SG, Beatty CW, Ebersold MJ. Retrosigmoid removal of acoustic neuroma: experience 1978–1988. Otolaryngol Head Neck Surg 1990; 103:40–45.

    CAS  PubMed  Google Scholar 

  20. Rhoton AL Jr, Tedeschi H. Microsurgical anatomy of acoustic neuroma. Otolaryngol Clin North Am 1992; 25:257–294.

    PubMed  Google Scholar 

  21. Roland PS, Meyerhoff WL, Wright CG, Mickey B. Anatomic considerations in the posterior approach to the internal auditory canal. Ann Otol Rhinol Laryngol 1988; 97:621–625.

    CAS  PubMed  Google Scholar 

  22. Haberkamp TJ, Meyer GA, Fox M. Surgical exposure of the fundus of the internal auditory canal: Anatomic limits of the middle fossa versus the retrosigmoid transcanal approach. Laryngoscope 1998; 108:1190–1194.

    Article  CAS  PubMed  Google Scholar 

  23. Shelton C, Hitselberger WE, House WF, Brackmann DE. Hearing preservation after acoustic tumor removal: Long-term results. Laryngoscope 1990; 100:115–119.

    CAS  PubMed  Google Scholar 

  24. Welling DB, Slater PW, Thomas RD, et al. The learning curve in vestibular schwannoma surgery. Am J Otolaryngol 1999; 20:644–648.

    CAS  Google Scholar 

  25. Wiet RJ, Mamikoglu B, Odom L, Hoistad DL. Long-term results of the first 500 cases of acoustic neuroma surgery. Otolaryngol Head Neck Surg 2001; 124:645–651.

    Article  CAS  PubMed  Google Scholar 

  26. Wackym PA, King WA, Poe DS, et al. Adjunctive use of endoscopy during acoustic neuroma surgery. Laryngoscope 1999; 109:1193–1201.

    Article  CAS  PubMed  Google Scholar 

  27. Morikawa M, Tamaki N, Nagashima T, Motooka Y. Long-term results of facial nerve function after acoustic neuroma surgery-clinical benefit of intraoperative facial nerve monitoring. Kobe J Med Sci 2000; 46:113–124.

    CAS  PubMed  Google Scholar 

  28. Sterkers JM, Morrison GA, Sterkers O, El-Dine MM. Preservation of facial, cochlear, and other nerve functions in acoustic neuroma treatment. Otolaryngol Head Neck Surg 1994; 110:146–155.

    CAS  PubMed  Google Scholar 

  29. Gormley WB, Sekhar LN, Wright DC, et al. Acoustic neuromas: results of current surgical management. Neurosurgery 1997; 41:50–60.

    Article  CAS  PubMed  Google Scholar 

  30. Gjuric M, Wigand ME, Wolf SR. Enlarged middle fossa vestibular schwannoma surgery: experience with 735 cases. Otol Neurotol 2001; 22:223–230.

    Article  CAS  PubMed  Google Scholar 

  31. Samii M, Matthies C. Management of 1000 vestibular schwannomas (acoustic neuromas): Surgical management and results with an emphasis on complications and how to avoid them. Neurosurgery 1997; 40:11–23.

    Article  CAS  PubMed  Google Scholar 

  32. Buchman CA, Chen DA, Flannagan P, et al. The learning curve for acoustic tumor surgery. Laryngoscope 1996; 106:1406–1411.

    Article  CAS  PubMed  Google Scholar 

  33. Kaylie DM, Gilbert E, Horgan MA, et al. Acoustic neuroma surgery outcomes. Otol Neurotol 2001; 22:686–689.

    Article  CAS  PubMed  Google Scholar 

  34. Hecht CS, Honrubia VF, Wiet RJ, Sims HS. Hearing preservation after acoustic neuroma resection with tumor size used as a clinical prognosticator. Laryngoscope 1997; 107:1122–1126.

    Article  CAS  PubMed  Google Scholar 

  35. Shirato H, Sakamoto T, Takeichi N, et al. Fractionated stereotactic radiotherapy for vestibular schwannona (VS): comparison between cystic-type and solid-type VS. Int J Radiat Oncol Biol Phys 2000; 48:1395–1401.

    Article  CAS  PubMed  Google Scholar 

  36. Fuss M, Debus J, Lohr F, et al. Conventionally fractionated stereotactic radiotherapy (FSRT) for acoustic neuromas. Int J Radiat Oncol Biol Phys 2000; 48:1381–1387.

    Article  CAS  PubMed  Google Scholar 

  37. Andrews DW, Suarez O, Goldman HW, et al. Stereotactic radiosurgery and fractionated stereotactic radiotherapy for the treatment of acoustic schwannomas: comparative observations of 125 patients treated at one institution. Int J Radiat Oncol Biol Phys 2001; 50:1265–1278.

    CAS  PubMed  Google Scholar 

  38. Bush DA, Mcallister CJ, Loredo LN, et al. Fractionated proton beam radiotherapy for acoustic neuroma. Neurosurgery 2002; 50:270–275.

    Article  PubMed  Google Scholar 

  39. Sakamoto T, Shirato H, Takeichi N, et al. Annual rate of hearing loss falls after fractionated stereotactic irradiation for vestibular schwannoma. Radiother Oncol 2001; 60:45–48.

    Article  CAS  PubMed  Google Scholar 

  40. Sakamoto T, Shirato H, Takeichi N, et al. Medication for hearing loss after fractionated stereotactic radiotherapy (SRT) for vestibular schwannoma. Int J Radiat Oncol Biol Phys 2001; 50:1295–1298.

    CAS  PubMed  Google Scholar 

  41. Kaylie DM, Horgan MJ, Delashaw JB, McMenomey SO. A metaanalysis comparing outcomes of microsurgery and gamma knife radiosurgery. Laryngoscope 2000; 110:1850–1856.

    Article  CAS  PubMed  Google Scholar 

  42. Myrseth E, Moller P, Pedersen PH, et al. Vestibular schwannomas: clinical results and quality of life after microsurgery or gamma knife radiosurgery. Neurosurgery 2005; 56:927–935.

    PubMed  Google Scholar 

  43. Friedman WA, Bradshaw P, Myers A, Bova FJ. Linear accelerator radiosurgery for vestibular schwannomas. J Neurosurg 2006; 105:657–661.

    Article  PubMed  Google Scholar 

  44. Hasegawa T, Fujitani S, Katsumata S, et al. Stereotactic radiosurgery for vestibular schwannomas: analysis of 317 patients followed more than 5 years. Neurosurgery 2005; 57:257–265.

    Article  PubMed  Google Scholar 

  45. Weber DC, Chan AW, Bussiere MR, et al. Proton beam radiosurgery for vestibular schwannoma: tumor control and cranial nerve toxicity. Neurosurgery 2003; 53:577–586.

    Article  PubMed  Google Scholar 

  46. Lunsford LD, Niranjan A, Flickinger JC, et al. Radiosurgery of vestibular schwannomas: summary of experience in 829 cases. J Neurosurg 2005; 102(Suppl):195–199.

    Article  PubMed  Google Scholar 

  47. Flickinger JC, Kondziolka D, Niranjan A, et al. Acoustic neuroma radiosurgery with marginal tumor doses of 12 to 13 Gy. Int J Radiat Oncol Biol Phys 2004; 60:225–230.

    Article  PubMed  Google Scholar 

  48. Noren G, Greitz D, Hirsch A, Lax I. Gamma knife surgery in acoustic tumors. Acta Neurochir Suppl (Wien) 1993; 58:104–107.

    CAS  Google Scholar 

  49. Massager N, Nissim O, Delbrouck C, et al. Role of intracanalicular volumetric and dosimetric parameters on hearing preservation after vestibular schwannoma radiosurgery. Int J Radiat Oncol Biol Phys 2006; 64:1331–1340.

    PubMed  Google Scholar 

  50. Foote KD, Friedman WA, Buatti JM, et al. Analysis of risk factors associated with radiosurgery for vestibular schwannoma. J Neurosurg 2001; 95:440–449.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, FL, USA

    William M. Mendenhall MD (Professor)

  2. University of Florida College of Medicine, Gainesville, FL, USA

    Robert J. Amdur MD (Professor of Radiation Oncology)

  3. Department of Radiation Oncology, University of Florida College of Medicine, Jacksonville, FL, USA

    Robert S. Malyapa MD, PhD (Assistant Professor)

  4. Department of Neurosurgery, University of Florida College of Medicine, Gainesville, FL, USA

    William A. Friedman MD (Professor and Chair)

Authors
  1. William M. Mendenhall MD
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  2. Robert J. Amdur MD
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  3. Robert S. Malyapa MD, PhD
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  4. William A. Friedman MD
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Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Boston University School of Medicine, Boston, MA, USA

    Lawrence S. Chin MD (Professor and Chairman) (Professor and Chairman)

  2. Department of Radiation Oncology, University of Maryland Medical School, Baltimore, MD, USA

    William F. Regine MD (Professor and Chairman) (Professor and Chairman)

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Mendenhall, W.M., Amdur, R.J., Malyapa, R.S., Friedman, W.A. (2008). Acoustic Schwannoma. In: Chin, L.S., Regine, W.F. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-71070-9_23

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  • DOI: https://doi.org/10.1007/978-0-387-71070-9_23

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-71069-3

  • Online ISBN: 978-0-387-71070-9

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