Related Experiment Videos
Residual and recurrent acoustic neuromas
C W Beatty1, M J Ebersold, S G Harner
1Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN 55905.
The Laryngoscope
|October 1, 1987
Summary
Residual or recurrent acoustic neuromas are uncommon, necessitating long-term patient follow-up. This study analyzed 23 reoperation cases from 1976-1985, highlighting common symptoms and surgical approaches.
Area of Science:
- Neurosurgery
- Otolaryngology
- Neurology
Background:
- Acoustic neuromas, also known as vestibular schwannomas, can recur or remain after initial treatment.
- Reoperation for these tumors presents unique surgical challenges.
Purpose of the Study:
- To analyze the characteristics and outcomes of patients undergoing reoperation for residual or recurrent acoustic neuromas.
- To determine the incidence and management strategies for these rare cases.
Main Methods:
- Retrospective review of 23 patients who had surgery for residual or recurrent acoustic neuromas between January 1976 and December 1985.
- Analysis of presenting symptoms, primary surgical approaches, and reoperation techniques.
Main Results:
- Ataxia, facial paresthesias, and headaches were the most frequent symptoms prompting reoperation.
- Primary surgeries predominantly used suboccipital posterior fossa approaches (22 patients).
- Reoperations most commonly employed retrosigmoid (17 patients) or translabyrinthine/retrosigmoid approaches (6 patients).
Conclusions:
- Residual or recurrent acoustic neuromas are infrequent occurrences.
- Long-term follow-up, spanning at least 7 to 8 years, is recommended for patients treated for acoustic neuromas.