Editorial Material
Clinical Neurology
Ufuk Erginoglu, Walid Elshamy, Mustafa K. Baskaya
Summary: Preserving facial nerve function is crucial in translabyrinthine approach for vestibular schwannoma surgery. Anatomical variations in the facial nerve are rare but can be associated with congenital abnormalities. We present a rare case of vestibular schwannoma with a bifurcated facial nerve. The patient had a successful postoperative recovery with Grade I outcome. This case highlights the importance of identifying and preserving the facial nerve during vestibular schwannoma resection.
WORLD NEUROSURGERY
(2022)
Article
Medicine, General & Internal
Natalia Carasek, Danielle Cristovao, Lucas Alves Teixeira Oliveira, Fernanda Ferreira Caldas, Fernando Massa Correia, Thais Gomes Abrahao Elias, Rivadavio Amorim, Fayez Bahmad Jr
Summary: This study describes a case in which simultaneous surgical treatments for vestibular schwannoma and middle ear cholesteatoma were performed on a female patient, followed by cochlear implantation. The surgical approach was successful, with preservation of the auditory nerve and cochlea, and positive postoperative results were observed with the cochlear implant in both silent and noisy environments.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Otorhinolaryngology
Nick P. de Boer, Stefan Bohringer, Radboud W. Koot, Martijn J. A. Malessy, Andel G. L. van der Mey, Jeroen C. Jansen, Erik F. Hensen
Summary: This study developed a predictive model for individualized postoperative surveillance of the risk of recurrence after translabyrinthine surgery for vestibular schwannoma. Based on the prediction, postoperative monitoring can be adjusted accordingly for patients.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2022)
Article
Neurosciences
Abdullah Keles, Burak Ozaydin, Ufuk Erginoglu, Mustafa K. Baskaya
Summary: The surgical management of large-sized vestibular schwannomas with acute presentations should be based on the patients' clinical status, neuroimaging findings, surgeons' expertise, and logistics. Immediate decompression followed by gross total resection is crucial for ensuring good recovery and avoiding permanent neurological deficits. This article presents two cases that were successfully managed using a multi-stage approach involving both retrosigmoid and translabyrinthine approaches.
Article
Otorhinolaryngology
Yongjie Wang, Gianluca Piras, Lorenzo Lauda, Antonio Caruso, Alessandra Russo, Abdelkader Taibah, Mario Sanna
Summary: This study evaluated the safety and surgical outcome of sacrificing the superior petrosal vein (SPV) in the translabyrinthine approach for resecting vestibule schwannoma (VS). The results showed that the sacrifice group had larger tumors, less solid tumors, and a higher incidence of facial numbness. The gross total resection rate was 73.3% in the sacrifice group with no complications. Tumor size and consistency were significant factors associated with SPV sacrifice.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2023)
Article
Clinical Neurology
Neil C-W Tan, Robert Macfarlane, Neil Donnelly, Richard Mannion, James R. Tysome, Sarah Jefferies, Manohar Bance, Patrick R. Axon
Summary: This study analyzed the 2 and 5-year outcomes of patients with newly diagnosed vestibular schwannoma. The results showed that a watch, wait and rescan approach was effective in controlling tumor growth in patients with small tumors. For patients with larger tumors, microsurgical excision via the translabyrinthine route was recommended.
OTOLOGY & NEUROTOLOGY
(2022)
Editorial Material
Clinical Neurology
Guilherme H. W. Ceccato, Julia S. de Oliveira, Pedro H. S. Neto, Nick D. de Carvalho, Vinicius N. Coelho, Hugo A. Hasegawa, Albert A. Sufianov, Luis A. B. Borba
Summary: Vestibular schwannomas are a diverse group of tumors that require careful surgical planning to preserve facial nerve function and hearing postoperatively. Microsurgical resection was successful in achieving complete tumor removal, resulting in improved symptoms and absence of new neurologic deficits in follow-up.
WORLD NEUROSURGERY
(2022)
Article
Medicine, Research & Experimental
Candace E. Hobson, Joe Saliba, Nopawan Vorasubin, Robert H. Lyles, Bill Mastrodimos, Roberto A. Cueva
Summary: This study shows that the position of vestibular schwannoma relative to the IAC axis can be used along with tumor size to predict postoperative facial outcomes. A greater proportion of tumor posterior to the IAC axis was associated with significantly better facial outcomes.
Article
Clinical Neurology
Kyung Hwan Kim, Yang-Sun Cho, Ho Jun Seol, Kyung-Rae Cho, Jung-Won Choi, Doo-Sik Kong, Hyung Jin Shin, Do-Hyun Nam, Jung-Il Lee
Summary: This study compared the surgical outcomes and morbidities of retrosigmoid and translabyrinthine approaches for large vestibular schwannoma (VS), finding equivalent surgical outcomes between the two methods but with advantages in reducing cerebellar injury and related morbidities for the translabyrinthine approach.
NEUROSURGICAL REVIEW
(2021)
Review
Otorhinolaryngology
Louis Pogoda, Jelle S. Nijdam, Diederik P. J. Smeeing, Eduard H. J. Voormolen, Fuat Ziylan, Hans G. X. M. Thomeer
Summary: This systematic review suggests a lower rate of postoperative headache (POH) with the translabyrinthine (TL) approach compared to the retrosigmoid (RS) approach for cerebellopontine angle (CPA) tumor resection. However, further prospective research studies are needed to confirm this finding.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2021)
Article
Otorhinolaryngology
Jungho Ha, Hantai Kim, Ga Young Gu, Young Jae Song, Jeong Hun Jang, Hun Yi Park, Yun-Hoon Choung
Summary: Simultaneous cochlear implantation (CI) and intracochlear schwannoma removal can successfully remove the tumor and achieve good hearing performance.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Medicine, General & Internal
Gi-Sung Nam, Seong-Hoon Bae, Hye-Jeen Kim, Ji-Woong Cho, In-Seok Moon
Summary: This study retrospectively analyzed preoperative vestibular function tests in patients with vestibular schwannoma (VS) to determine the value of these tests in predicting tumor origin. The results suggest that the gain of vestibular-ocular reflex (VOR) in the ipsilesional posterior canal (iPC) during the video head impulse test (vHIT) may be a useful indicator of nerve origin in patients with VS, especially in cases of medium to large tumors. Other cochleovestibular function tests have limited value in discriminating nerve origins.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Health Care Sciences & Services
Bruno Sergi, Stefano Settimi, Gaia Federici, Costanza Galloni, Carla Cantaffa, Eugenio De Corso, Daniela Lucidi
Summary: Management of vestibular schwannoma (VS) is a complex process that requires consideration of factors such as patient age, tumor size, and hearing preservation. An individualized treatment approach is preferable over a single standard method.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Clinical Neurology
Kevin A. Peng, Gregory P. Lekovic
Summary: This study investigated the utility of ICG as a near-infrared fluorescent dye for intraoperative visualization in vestibular schwannoma surgery. The results showed that ICG fluorescence enhanced visualization of the tumor-nerve plane, but the effect faded with increasing surgical time.
OTOLOGY & NEUROTOLOGY
(2022)
Article
Clinical Neurology
Stephen A. Chan, Robert J. Macielak, Amy M. Tuchscherer, Brian A. Neff, Colin L. W. Driscoll, Maria Peris-Celda, Jamie J. Van Gompel, Michael J. Link, Matthew L. Carlson
Summary: This study evaluated the optimal dose and timing of sodium fluorescein (SF) administration for selective fluorescence of sporadic vestibular schwannoma (VS) during microsurgery. The results showed that SF and YE560 could achieve selective fluorescence of the tumor approximately 30 minutes after administration, facilitating better visualization and differentiation of the tumor from surrounding nerves.
OTOLOGY & NEUROTOLOGY
(2022)