Brazilian Society of Otology task force – Vestibular Schwannoma ‒ evaluation and treatment

Autor: Silva, Vagner Antonio Rodrigues, Lavinsky, Joel, Pauna, Henrique Furlan, Vianna, Melissa Ferreira, Santos, Vanessa Mazanek, Ikino, Cláudio Márcio Yudi, Sampaio, André Luiz Lopes, Tardim Lopes, Paula, Lamounier, Pauliana, Maranhão, André Souza de Albuquerque, Soares, Vitor Yamashiro Rocha, Polanski, José Fernando, Denaro, Mariana Moreira de Castro, Chone, Carlos Takahiro, Bento, Ricardo Ferreira, Castilho, Arthur Menino
Zdroj: Brazilian Journal of Otorhinolaryngology; November-December 2023, Vol. 89 Issue: 6
Abstrakt: •In asymmetric SNHL, MRI should be performed regardless of ABR results.•Gadolinium-enhanced MRI is the gold standard exam for suspected VS.•Intervention is indicated for tumors with significant growth (≥2 mm/year) and/or on Koos grade III and IV.•Radiotherapy may be indicated as primary treatment in selected cases; however, there is still controversy surrounding long-term effectiveness and safety, especially in young patients.•Surgery is superior to radiotherapy in order to preserve serviceable hearing in patients with VS.
Databáze: Supplemental Index