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Microsurgical resection of vestibular schwannomas: complication avoidance.

Publication ,  Journal Article
Rahimpour, S; Friedman, AH; Fukushima, T; Zomorodi, AR
Published in: J Neurooncol
November 2016

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.

Duke Scholars

Published In

J Neurooncol

DOI

EISSN

1573-7373

Publication Date

November 2016

Volume

130

Issue

2

Start / End Page

367 / 375

Location

United States

Related Subject Headings

  • Sinus Thrombosis, Intracranial
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Neurosurgical Procedures
  • Neuroma, Acoustic
  • Monitoring, Intraoperative
  • Microsurgery
  • Meningitis
  • Intraoperative Complications
  • Hydrocephalus
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rahimpour, S., Friedman, A. H., Fukushima, T., & Zomorodi, A. R. (2016). Microsurgical resection of vestibular schwannomas: complication avoidance. J Neurooncol, 130(2), 367–375. https://doi.org/10.1007/s11060-016-2260-4
Rahimpour, Shervin, Allan H. Friedman, Takanori Fukushima, and Ali R. Zomorodi. “Microsurgical resection of vestibular schwannomas: complication avoidance.J Neurooncol 130, no. 2 (November 2016): 367–75. https://doi.org/10.1007/s11060-016-2260-4.
Rahimpour S, Friedman AH, Fukushima T, Zomorodi AR. Microsurgical resection of vestibular schwannomas: complication avoidance. J Neurooncol. 2016 Nov;130(2):367–75.
Rahimpour, Shervin, et al. “Microsurgical resection of vestibular schwannomas: complication avoidance.J Neurooncol, vol. 130, no. 2, Nov. 2016, pp. 367–75. Pubmed, doi:10.1007/s11060-016-2260-4.
Rahimpour S, Friedman AH, Fukushima T, Zomorodi AR. Microsurgical resection of vestibular schwannomas: complication avoidance. J Neurooncol. 2016 Nov;130(2):367–375.
Journal cover image

Published In

J Neurooncol

DOI

EISSN

1573-7373

Publication Date

November 2016

Volume

130

Issue

2

Start / End Page

367 / 375

Location

United States

Related Subject Headings

  • Sinus Thrombosis, Intracranial
  • Postoperative Complications
  • Oncology & Carcinogenesis
  • Neurosurgical Procedures
  • Neuroma, Acoustic
  • Monitoring, Intraoperative
  • Microsurgery
  • Meningitis
  • Intraoperative Complications
  • Hydrocephalus