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1 results

  • Chapter 7 - Hybrid/Combined Strategies for Vestibular Schwannomas

  • from Section II - Open Combined Approaches
  • Edited by Vijay Agarwal
  • Book:
    Integrated Management of Complex Intracranial Lesions
    Published online:
    05 October 2021
    Print publication:
    21 October 2021, pp 67-78

  • Summary

    Optimal treatment for vestibular schwannomas has long been a debated topic in skull base surgery. Advancements in surgical technique and adjuncts, as well as radiation therapy, have further confounded what is considered the optimal treatment regimen. Goals of care have focused on maximal tumor resection and avoidance of cranial neuropathies. Treatment options continue to include surveillance imaging with close observation, microsurgical resection, and radiotherapy (either with stereotactic radiosurgery or hypofractionated treatments). This chapter reviews the current management options, with a focus on the development of hybrid strategies for the treatment of these challenging tumors.