Format

Send to

Choose Destination
See comment in PubMed Commons below
B-ENT. 2012;8(4):235-40.

Multidisciplinary management of vestibular schwannomas: state of the art.

Author information

1
Department of ENT, Sint-Augustinus Hospital, Wilrijk, Antwerp, Belgium. Thomas.somers@gza.be

Abstract

The preferred setting for the treatment 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 different 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.

PMID:
23409549
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center