[Management of Vestibular Schwannoma by Otolaryngologists]

Small-to-medium-sized vestibular schwannomas are frequently managed initially by otolaryngologists because hearing loss, tinnitus, and dizziness, the most common presenting symptoms, lead patients to seek otolaryngologic care. Surgical intervention is often considered for patients aged<50 years, whereas radiotherapy is recommended for those aged>70 years. Patient preferences are crucial in treatment decisions. For small-to-medium-sized tumors, complete facial nerve preservation is a primary surgery goal. Surgical approach selection depends on the tumor size and patient's hearing status, with options including the middle cranial fossa, translabyrinthine, and retrolabyrinthine approaches.