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Vestibularisschwannom

Teil 2: Therapie, Prognose und Rehabilitation

Vestibular schwannoma

Part 2: therapy, prognosis, and rehabilitation

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Zusammenfassung

Die Therapieoptionen beim Vestibularisschwannom sind in den letzten Jahren deutlich vielseitiger geworden. Neben die vormals dominierenden operativen Behandlungsmethoden traten strahlentherapeutische Verfahren und auch die sog. Wait-and-scan-Strategie, die jegliche Intervention zunächst vermeidet. Dies macht die Festlegung des Prozedere schwieriger und legt nahe, sie auf eine interdisziplinäre Basis zu stellen. Dies gilt in besonderem Maß auch für Patienten, die an einer Neurofibromatose Typ 2 leiden. Auch die Rehabilitation, deren Schwerpunkt im auditorischen, vestibulären, motorischen und neurologischen Bereich liegt, verlangt eingehende Erfahrung mit dieser komplexen Erkrankung.

Abstract

During the past few decades, therapeutic options in vestibular schwannoma have become more versatile. The former dominant surgical strategies are complemented by radiotherapeutic procedures and the so-called wait-and-scan option. Therefore, the decision to proceed has become more difficult and individual solutions should be found on an interdisciplinary basis. In particular, patients suffering from neurofibromatosis type 2 should be discussed in an experienced center. Furthermore, rehabilitation of auditory, vestibular, motoric, and neurologic functions requires extended experience in this complex disease.

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Authors and Affiliations

  1. Klinik für Hals-Nasen-Ohren-Heilkunde, Plastische Operationen, Universitätsklinikum Freiburg, Killianstr. 5, 79106, Freiburg, Deutschland

    W. Maier, F. Hassepaß, A. Aschendorff & R. Laszig

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  1. W. Maier
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  2. F. Hassepaß
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  3. A. Aschendorff
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  4. R. Laszig
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Correspondence to W. Maier.

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Maier, W., Hassepaß, F., Aschendorff, A. et al. Vestibularisschwannom. HNO 60, 927–938 (2012). https://doi.org/10.1007/s00106-012-2534-x

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  • DOI: https://doi.org/10.1007/s00106-012-2534-x

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