Conservative management of acoustic neuroma in the elderly patient

  title={Conservative management of acoustic neuroma in the elderly patient},
  author={Herbert Silverstein and Alan Mcdaniel and Horace Norrell and Jack J. Wazen},
  journal={The Laryngoscope},
A subtotal resection through the translabyrinthine approach should be used in the treatment of large symptomatic acoustic neuromas in patients over the age of 65. This approach will consistently relieve the patient's symptoms of brain stem compression, reduce postoperative morbidity and complications, and preserve facial nerve function. 

Translabyrinthine removal of acoustic neurinoma in an elderly patient.

A 77-year-old female was found to have a small acoustic neurinoma which was removed totally with a translabyrinthine approach. The surgical treatment should be determined in consideration of the

Disappearing Recurrent Acoustic Neuroma in an Elderly Woman

A biopsy-proven acoustic neuroma that involuted completely during a 4-year period of surveillance is presented and possible mechanisms of involution are discussed.

Otologic and neurosurgical co-operation in diagnosis of cerebello-pontine angle tumours

The literature abounds with articles which review large series of cases of acoustic neuroma and attempt through retrospective analysis, to find a reliable protocol of investigation to screen for

Consequences to Hearing During the Conservative Management of Vestibular Schwannomas

To estimate the risk of loss of serviceable hearing during the conservative management of vestibular schwannomas, a large number of patients with these conditions have had their hearing aids removed.

Operative management of acoustic neuromas: The priority of neurologic function over complete resection

Within the limits of the follow-up period of this study, subtotal resection of acoustic neuroma in elderly patients was not associated with clinically significant recurrence in most patients and produced highly satisfactory rates of facial preservation with low surgical morbidity.

Surgical management of vestibular schwannoma in elderly patients

Despite that complete removal is the main target of the surgery; adoption of subtotal removal in selected cases can improve postoperative facial nerve results and reduce the duration of surgery.

The Treatment of Acoustic Neuroma and Meniere's Disease in the Same Patient

  • A. McdanielH. Silverstein
  • Medicine
    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 1987
Two elderly patients are discussed, each of whom has an acoustic neuroma in one ear and Meniere's disease in the other, and their histories, diagnostic evaluations, treatment rationale, and follow-up data are presented to illustrate the decision-making process and the management of complicated and unusual cases.

History of vestibular schwannoma surgery.

  • W. Pellet
  • Medicine
    Progress in neurological surgery
  • 2008
In this overview, it is shown how the standard of the current surgery came from two distinct medical cultures, otologists and neurosurgeons, respectively, now and in the near future, these competencies will be gathered in multidisciplinary teams who will display the whole panel of the treatment options in order to offer the best individual solutions for the patients.

Solitary Vestibular Schwannoma: Decision Making of Treatments

Following the several modality to manage a solitary vestibular schwannoma, the medical society is in demand of a treatment strategy based on hard data especially on the growth pattern of these tumors.