Abstract
Management of vestibular schwannomas (VSs) had been the neurosurgeons’ responsibility since Cushing’s time. This practice, however, has been changing during the last 10–15 years. With the blossoming of microsurgery, skull base approaches, radiosurgery, and stereotactic radiotherapy, neurosurgeons, otologists, and radiation oncologists are claiming a role as stakeholders, as individuals or as part of a multidisciplinary team. The good news is that expertise in each of the specialties pushes the standard of care to unprecedented heights with near-zero operative mortality. Facial nerve injury is a rare occurrence, and hearing preservation is a realistic goal. However, such high standards may not be achievable in communities where the case load, surgical expertise, and/or state-of-the-art technology are lacking.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hayashi M, Chernov MF, Lipski SM, Tamura N, Yomo S, Horiba A, Tsuzuki S, Izawa M, Okada Y, Muragaki Y, Iseki H, Ivanov P, Regis J, Takakura K (2013) Do we really still need an open surgery for treatment of patients with vestibular schwannomas? Acta Neurochir Suppl 116:25–36 (present volume)
Hori T, Maruyama T (2013) Whether gamma knife radiosurgery is really necessary for treatment of patients with vestibular schwannomas. Acta Neurochir Suppl 116:19–23 (present volume)
Leksell L (1983) Stereotactic radiosurgery. J Neurol Neurosurg Psychiatry 46:797–803
Murphy ES, Suh JH (2011) Radiotherapy for vestibular schwannomas: a critical review. Int J Radiat Oncol Biol Phys 79:985–997
Polovnikov ES, Anikeeva OY, Filatov PV, Krivoshapkin AL, Melidi EG, Gavronina OA, Gaitan AS, Bedny IV (2013) Stereotactic radiosurgery and hypofractionated stereotactic radiotherapy for management of vestibular schwannomas: initial experience with 17 cases. Acta Neurochir Suppl 116:37–44 (present volume)
Prasad D, Steiner M, Steiner L (2000) Gamma surgery for vestibular schwannoma. J Neurosurg 92:745–759
Radiosurgery Practice Guideline Initiative (2006) Stereotactic radiosurgery for patients with vestibular schwannomas: radiosurgery practice guideline report #4-06. http://www.irsa.org/AN%20Guideline.pdf. Accessed 30 Dec 2011
Reulen HJ, Hide RA, Bettag M, Bodosi M, Cunha E, Sa M (2009) A report on neurosurgical workforce in the countries of the EU and associated states. Task Force “Workforce Planning”, UEMS Section of Neurosurgery. Acta Neurochir (Wien) 151:715–721
Samii M, Gerganov VM, Samii A (2010) Functional outcome after complete surgical removal of giant vestibular schwannomas. J Neurosurg 112:860–867
van de Langenberg R, Hanssens PE, van Overbeeke JJ, Verheul JB, Nelemans PJ, de Bondt BJ, Stokroos RJ (2011) Management of large vestibular schwannoma. Part I. Planned subtotal resection followed by Gamma Knife surgery: radiological and clinical aspects. J Neurosurg 115:875–884
Yu CP, Leung S, Poon C, Fan YW, Ng B, Chan J, Ho R (2010) Combined microsurgery plus Gamma Knife by the same team for large skull base tumors: towards zero mortality and near zero morbidity in 381 cases. In: Scientific program and schedule of events of the 15th international meeting of the Leksell Gamma Knife® Society, Athens, 16–20 May 2010, p 99
Conflict of Interest
The author declares that he has no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Wien
About this paper
Cite this paper
Yu, C.P. (2013). Contemporary Role of Microsurgery, Radiosurgery, and Stereotactic Radiotherapy in the Management of Vestibular Schwannomas. In: Chernov, M., Hayashi, M., Ganz, J., Takakura, K. (eds) Gamma Knife Neurosurgery in the Management of Intracranial Disorders. Acta Neurochirurgica Supplement, vol 116. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1376-9_3
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1376-9_3
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1375-2
Online ISBN: 978-3-7091-1376-9
eBook Packages: MedicineMedicine (R0)