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Updated: Jun 9, 2026
A Unified Methodological Framework for Vestibular Schwannoma Research
Published on: June 20, 2017
Surgical treatment of large vestibular schwannomas (stages III and IV)
S Talfer1, G Dutertre, C Conessa
1Service d'ORL et de chirurgie cervicofaciale, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75005 Paris, France. s.talfer@free.fr
Objective:
Study the results of surgical treatment of large vestibular schwannomas.
Material And Methods:
Between January 1995 and December 2005, 87 stage III and IV unilateral vestibular schwannomas (Koos classification) were operated.
Results:
The approach used was for the most part translabyrinthine. Nine patients were operated in two phases. Tumor exeresis was total in 79% of the cases, nearly total in 17%, and subtotal in 3.6%. Good facial function was preserved in 63% of the patients. Mortality was zero. Tumor control after a mean follow-up of 45 months was 86%.
Conclusions:
Surgery for large vestibular schwannomas should have a 0% mortality rate and low morbidity. Otoneurosurgical collaboration, with a preference for the translabyrinthine approach, with surgery undertaken in several phases if need be, provides maximum safety and good functional results as well as an acceptable residual tumor rate.
