Evolution in the management of vestibular schwannoma: a single-center 15-year experience

Evolution in the management of vestibular schwannoma: a single-center 15-year experience

Purpose To highlight the changes in the management of vestibular schwannoma (VS) since 2004 with a focus on small- to middle-size VS. Methods Retrospective analysis of the decisions made in skull base tumor board between 2004 and 2021. Results 1819 decisions were analyzed (average age 59.25, 54% fem...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2023-11, Vol.280 (11), p.4885-4894
Hauptverfasser: El Sayed Ahmad, Youssef, Gallois, Yohan, Sol, Jean Christophe, Boetto, Sergio, Attal, Justine, Sabatier, Jean, Debs, Rachel, Deguine, Olivier, Marx, Mathieu
Format: Artikel
Sprache:eng
Schlagworte:
Dose Fractionation, Radiation
Female
Follow-Up Studies
Head and Neck Surgery
Hearing
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neuroma, Acoustic - pathology
Neuroma, Acoustic - surgery
Neurosurgery
Otology
Otorhinolaryngology
Retrospective Studies
Treatment Outcome
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Zusammenfassung:Purpose To highlight the changes in the management of vestibular schwannoma (VS) since 2004 with a focus on small- to middle-size VS. Methods Retrospective analysis of the decisions made in skull base tumor board between 2004 and 2021. Results 1819 decisions were analyzed (average age 59.25, 54% females). Overall, 850 (47%) cases were allocated to a Wait and Scan (WS) approach, 416 (23%) received radiotherapy and 553 (30%) were treated surgically (MS). All stages considered WS increased from 39% before 2010 to 50% after 2010. Similarly, Stereotactic Radio Therapy (SRT) increased from 5 to 18%. MS decreased from 46 to 25%. It was more commonly proposed to younger patients and larger tumors, p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-023-08009-6