Surgical treatment of large vestibular schwannomas (stages III and IV)

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Objective: Study the results of surgical treatment of large vestibular schwannomas. Material and methods: Between January 1995 and December 2005, 87 stage III and IV unilateral vestibular schwannomas (Koos classification) were operated. Results: The approach used was for the most part translabyrinthine. Nine patients were operated in two phases. Tumor exeresis was total in 79% of the cases, nearly total in 17%, and subtotal in 3.6%. Good facial function was preserved in 63% of the patients. Mortality was zero. Tumor control after a mean follow-up of 45 months was 86%. Conclusions: Surgery for large vestibular schwannomas should have a 0% mortality rate and low morbidity. Otoneurosurgical collaboration, with a preference for the translabyrinthine approach, with surgery undertaken in several phases if need be, provides maximum safety and good functional results as well as an acceptable residual tumor rate. © 2010 Elsevier Masson SAS. All rights reserved.




Talfer, S., Dutertre, G., Conessa, C., Desgeorges, M., & Poncet, J. L. (2010). Surgical treatment of large vestibular schwannomas (stages III and IV). European Annals of Otorhinolaryngology, Head and Neck Diseases, 127(2), 63–69.

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