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Acta Neurochirurgica

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01-12-2024 | Vestibular Schwannoma | How I Do it

How I do it: hearing preservation in large vestibular schwannomas using vestibular nerve fiber preservation technique

Authors: Omaditya Khanna, Elizabeth Hogan, Reinier Alvarez, A. Samy Youssef

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

Background

To improve hearing function after resection of large vestibular schwannomas, we describe a strategy of vestibular-nerve-fiber preservation. Anatomical considerations and stepwise dissection are described.

Method

Steps include locating the vestibular nerve at the brainstem and identifying a dissection plane between nerve fibers and tumor capsule. Using this plane to mobilize and resect tumor reduced manipulation and maintained vascularity of underlying cochlear and facial nerves.

Conclusion

Preservation of hearing function is feasible in large vestibular schwannomas with vestibular-nerve-fiber preservation. Reducing manipulation and ischemic injury of underlying cochlear and facial nerves thereby helped facilitate hearing preservation, even in large tumors.

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Title: How I do it: hearing preservation in large vestibular schwannomas using vestibular nerve fiber preservation technique
Authors: Omaditya Khanna
Elizabeth Hogan
Reinier Alvarez
A. Samy Youssef
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Vestibular Schwannoma
Vestibular Schwannoma
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-05998-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

How I do it: hearing preservation in large vestibular schwannomas using vestibular nerve fiber preservation technique

Abstract

Background

Method

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Conclusion

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