Microsurgical resection of vestibular schwannomas: complication avoidance.

Published

Journal Article (Review)

Vestibular schwannoma (VS) surgery requires appropriate patient selection, meticulous microsurgical technique and optimal post-operative care. Focused radiation is an effective alternative for the treatment of smaller VSs. For VS surgery to remain a reasonable option, surgery must be performed with a limited number of complications. Complication rates for VS surgery have increased over the last decade. This is likely due to (1) decreased surgical volume and as a result decreased microsurgical experience, (2) larger tumors undergoing surgery while smaller tumors are reserved for radiation, and (3) surgery for previously radiated tumors resulting in more difficult anatomic dissection. Appropriate management of complications is paramount. Herein, we discuss complications related to VS microsurgery and methods of avoidance. Specifically, we discuss the most frequently encountered complications, intraoperative monitoring and finally, methods of addressing these complications. With meticulous microsurgical technique, careful intraoperative monitoring and vigilant perioperative care one will ensure optimal patient outcomes.

Full Text

Duke Authors

Cited Authors

  • Rahimpour, S; Friedman, AH; Fukushima, T; Zomorodi, AR

Published Date

  • November 2016

Published In

Volume / Issue

  • 130 / 2

Start / End Page

  • 367 - 375

PubMed ID

  • 27650193

Pubmed Central ID

  • 27650193

Electronic International Standard Serial Number (EISSN)

  • 1573-7373

Digital Object Identifier (DOI)

  • 10.1007/s11060-016-2260-4

Language

  • eng

Conference Location

  • United States