Autor: |
Vagner Antonio Rodrigues Silva, Joel Lavinsky, Henrique Furlan Pauna, Melissa Ferreira Vianna, Vanessa Mazanek Santos, Cláudio Márcio Yudi Ikino, André Luiz Lopes Sampaio, Paula Tardim Lopes, Pauliana Lamounier, André Souza de Albuquerque Maranhão, Vitor Yamashiro Rocha Soares, José Fernando Polanski, Mariana Moreira de Castro Denaro, Carlos Takahiro Chone, Ricardo Ferreira Bento, Arthur Menino Castilho |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
|
Zdroj: |
Brazilian Journal of Otorhinolaryngology, Vol 89, Iss 6, Pp 101313- (2023) |
Druh dokumentu: |
article |
ISSN: |
1808-8694 |
DOI: |
10.1016/j.bjorl.2023.101313 |
Popis: |
Objective: To review the literature on the diagnosis and treatment of vestibular schwannoma. Methods: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on vestibular schwannoma were eligible for inclusion. The American College of Physicians’ guideline grading system and the American Thyroid Association’s guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. Results: The topics were divided into 2 parts: (1) Diagnosis — audiologic, electrophysiologic tests, and imaging; (2) Treatment — wait and scan protocols, surgery, radiosurgery/radiotherapy, and systemic therapy. Conclusions: Decision making in VS treatment has become more challenging. MRI can diagnose increasingly smaller tumors, which has disastrous consequences for the patients and their families. It is important to develop an individualized approach for each case, which highly depends on the experience of each surgical team. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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