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Chapter 7 - Hybrid/Combined Strategies for Vestibular Schwannomas

from Section II - Open Combined Approaches

Published online by Cambridge University Press:  05 October 2021

By
Philip V. Theodosopoulos
Edited by
Vijay Agarwal
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Summary

Optimal treatment for vestibular schwannomas has long been a debated topic in skull base surgery. Advancements in surgical technique and adjuncts, as well as radiation therapy, have further confounded what is considered the optimal treatment regimen. Goals of care have focused on maximal tumor resection and avoidance of cranial neuropathies. Treatment options continue to include surveillance imaging with close observation, microsurgical resection, and radiotherapy (either with stereotactic radiosurgery or hypofractionated treatments). This chapter reviews the current management options, with a focus on the development of hybrid strategies for the treatment of these challenging tumors.

Keywords

vestibular schwannomamicrosurgical resectionSRS
Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
 , pp. 67 - 78
Publisher: Cambridge University Press
Print publication year: 2021

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