Open AccessOur Management of Vestibular Schwannomas and Review of Literatures
Author(s) -
Neizekhotuo Brian Shunyu
Publication year - 2022
Publication title -
annals of international medical and dental research
Language(s) - English
Resource type - Journals
eISSN - 2395-2822
pISSN - 2395-2814
DOI - 10.53339/aimdr.2022.8.1.19
Subject(s) - medicine , vestibular schwannomas , internal auditory meatus , vestibular system , acoustic neuroma , posterior fossa , facial nerve , surgery , meatus , radiology
There is no a clear consensus provided in the literature and there remain controversial on the treatment especially for small to medium size Vestibular schwannomas (VSs). Thus the treatment technique and approach preference vary from centre to centre. This problem too exists in our centre. The purpose of this paper is to develop a consensus in our hospital among our colleagues on the treatment of our VSs patients. We have been treating VSs patient by translabyrinthine approach from time to time for the last 5 years and found it to be a very efficient approach. This approach gives the most direct route to the tumor with excellent exposure of the internal acoustic meatus, cerebropontine angle (CPA) area without the need to retract the brain with facial nerve totally in control early in the surgery. The only problem was, when there is large posterior fossa component of the tumor present. This approach is safe with direct exposure to CPA area and have minimum intraoperative or postoperative complications.