Complete resection versus functional preservation in resection of cystic vestibular schwannoma in a 56-year-old female: case report and literature review

Abstract Surgery for vestibular schwannoma presents unique challenges to the surgeon, given that the primary objectives are achieving complete resection while preserving both facial nerve and hearing function. Consequently, a comprehensive preoperative and perioperative assessment of the tumor is es...

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Bibliographic Details
Published inJournal of surgical case reports Vol. 2023; no. 12; p. rjad655
Main Authors Golden, Nyoman, Awyono, Steven, Prakoso, Dicky T, Lauren, Christopher
Format Journal Article
LanguageEnglish
Published England Oxford University Press 05.12.2023
Subjects
Case Report
internal auditory meatus
functional preservation
neurosurgery
oncology
vestibular schwannoma
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Summary:Abstract Surgery for vestibular schwannoma presents unique challenges to the surgeon, given that the primary objectives are achieving complete resection while preserving both facial nerve and hearing function. Consequently, a comprehensive preoperative and perioperative assessment of the tumor is essential to determine its extent, particularly in cases involving dumbbell-shaped lesions. This case report describes our experience in managing a patient with a dumbbell-shaped vestibular schwannoma, where we achieved near-total resection while successfully preserving the patient’s facial nerve and hearing function. The early postoperative evaluation revealed no morbidity, and the patient experienced a significant improvement in their symptoms.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjad655