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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2007 September;57(3):125-36
Advances in diagnosis and therapy of vestibular schwannomas
Gouveris H., Brieger J., Mann W. J.
Department of Otorhinolaryngology - Head and Neck Surgery University of Mainz Hospitals, Mainz, Germany
Molecular biology studies of vestibular schwannomas (VS) which helped understanding more about the pathogenesis of this disease process are delineated. Preoperative hearing assessment by means of auditory brainstem response, otoacoustic emissions and electrocochleography as well as preoperative balance testing using electronystagmography, computerized dynamic platform posturography and vestibular evoked myogenic potentials are presented. Additionally, we present the use of electromyography and electroneuronography of the facial nerve in the preoperative work-up of vs patients and the various methods currently in use for intra-operative facial nerve and hearing monitoring. The principles of management, the surgical approaches and selected tips and tricks during surgery for VS are also part of this review. The role and the various radiosurgery and radiotherapy methods in the treatment of VS patients are reviewed, post-treatment results and complications are presented in detail and follow-up strategies are suggested.