Long-term results of the first 500 cases of acoustic neuroma surgery
Objective: This retrospective study focuses on 2 outcome results after surgical intervention for acoustic neuroma: (1) facial nerve status, and (2) hearing preservation. Study design: A total of 484 patients with an acoustic neuroma. Results: Postoperative facial nerve outcomes were significantly di...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2001-06, Vol.124 (6), p.645-651 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Wiet, Richard J. Mamikoglu, Bulent Odom, Linda Hoistad, Dick L. |
| description | Objective: This retrospective study focuses on 2 outcome results after surgical intervention for acoustic neuroma: (1) facial nerve status, and (2) hearing preservation.
Study design: A total of 484 patients with an acoustic neuroma.
Results: Postoperative facial nerve outcomes were significantly different (
P < 0.001) according to the size of the tumors. Tumor size had even more influence on the immediate postoperative results. In addition, statistical significance (
P < 0.05) was demonstrated in comparing facial nerve outcomes with the surgeon's surgical experience. We also noted that as the patient's age increases, the likelihood for facial dysfunction may increase for all postoperative intervals. The overall success rate of retaining useful hearing was 27% (26 of 95). Class A hearing was retained in 66% (10 of 15) of cases operated on through middle fossa approach in the last 5 years.
Conclusion: This study demonstrates that tumor size and surgeon's experience are the most significant factors influencing the facial nerve status and hearing outcome after removal of acoustic neuroma.
(Otolaryngol Head Neck Surg 2001;124:645-51.) |
| doi_str_mv | 10.1067/mhn.2001.116020 |
| format | Article |
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Study design: A total of 484 patients with an acoustic neuroma.
Results: Postoperative facial nerve outcomes were significantly different (
P < 0.001) according to the size of the tumors. Tumor size had even more influence on the immediate postoperative results. In addition, statistical significance (
P < 0.05) was demonstrated in comparing facial nerve outcomes with the surgeon's surgical experience. We also noted that as the patient's age increases, the likelihood for facial dysfunction may increase for all postoperative intervals. The overall success rate of retaining useful hearing was 27% (26 of 95). Class A hearing was retained in 66% (10 of 15) of cases operated on through middle fossa approach in the last 5 years.
Conclusion: This study demonstrates that tumor size and surgeon's experience are the most significant factors influencing the facial nerve status and hearing outcome after removal of acoustic neuroma.
(Otolaryngol Head Neck Surg 2001;124:645-51.)</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1067/mhn.2001.116020</identifier><identifier>PMID: 11391255</identifier><language>eng</language><publisher>England: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cerebellar Neoplasms - prevention & control ; Cerebellar Neoplasms - surgery ; Cerebellopontine Angle ; Child ; Clinical Competence ; Facial Nerve - physiopathology ; Female ; Hearing Disorders - etiology ; Humans ; Male ; Middle Aged ; Neuroma, Acoustic - pathology ; Neuroma, Acoustic - surgery ; Otorhinolaryngologic Surgical Procedures - adverse effects ; Postoperative Period ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Otolaryngology-head and neck surgery, 2001-06, Vol.124 (6), p.645-651</ispartof><rights>2001 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-8ec552e771848fd081e16e4648e180e2430fb941f05d2ac749cc6dc0642f48d53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11391255$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiet, Richard J.</creatorcontrib><creatorcontrib>Mamikoglu, Bulent</creatorcontrib><creatorcontrib>Odom, Linda</creatorcontrib><creatorcontrib>Hoistad, Dick L.</creatorcontrib><title>Long-term results of the first 500 cases of acoustic neuroma surgery</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective: This retrospective study focuses on 2 outcome results after surgical intervention for acoustic neuroma: (1) facial nerve status, and (2) hearing preservation.
Study design: A total of 484 patients with an acoustic neuroma.
Results: Postoperative facial nerve outcomes were significantly different (
P < 0.001) according to the size of the tumors. Tumor size had even more influence on the immediate postoperative results. In addition, statistical significance (
P < 0.05) was demonstrated in comparing facial nerve outcomes with the surgeon's surgical experience. We also noted that as the patient's age increases, the likelihood for facial dysfunction may increase for all postoperative intervals. The overall success rate of retaining useful hearing was 27% (26 of 95). Class A hearing was retained in 66% (10 of 15) of cases operated on through middle fossa approach in the last 5 years.
Conclusion: This study demonstrates that tumor size and surgeon's experience are the most significant factors influencing the facial nerve status and hearing outcome after removal of acoustic neuroma.
(Otolaryngol Head Neck Surg 2001;124:645-51.)</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cerebellar Neoplasms - prevention & control</subject><subject>Cerebellar Neoplasms - surgery</subject><subject>Cerebellopontine Angle</subject><subject>Child</subject><subject>Clinical Competence</subject><subject>Facial Nerve - physiopathology</subject><subject>Female</subject><subject>Hearing Disorders - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neuroma, Acoustic - pathology</subject><subject>Neuroma, Acoustic - surgery</subject><subject>Otorhinolaryngologic Surgical Procedures - adverse effects</subject><subject>Postoperative Period</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Lw0AQhhdRbK2evUlO3tLOJJv9OEr9hIIXPS_pZrZdaZK6mwj-e1NT8ORpYHjel5mHsWuEOYKQi3rbzDMAnCMKyOCETRG0TIVCecqmgJqnhdZqwi5i_AAAIaQ8ZxPEXGNWFFN2v2qbTdpRqJNAsd91MWld0m0pcT7ELikAEltG-l2Xtu1j523SUB_aukxiHzYUvi_ZmSt3ka6Oc8beHx_els_p6vXpZXm3Sm3O8y5VZIsiIylRceUqUEgoiAuuCBVQxnNwa83RQVFlpZVcWysqC4JnjquqyGfsduzdh_azp9iZ2kdLu13Z0HCZkaCBSy0GcDGCNrQxBnJmH3xdhm-DYA7izCDOHMSZUdyQuDlW9-uaqj_-aGoA9AjQ8OCXp2Ci9dRYqnwg25mq9f-W_wBgGXrr</recordid><startdate>20010601</startdate><enddate>20010601</enddate><creator>Wiet, Richard J.</creator><creator>Mamikoglu, Bulent</creator><creator>Odom, Linda</creator><creator>Hoistad, Dick L.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20010601</creationdate><title>Long-term results of the first 500 cases of acoustic neuroma surgery</title><author>Wiet, Richard J. ; Mamikoglu, Bulent ; Odom, Linda ; Hoistad, Dick L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-8ec552e771848fd081e16e4648e180e2430fb941f05d2ac749cc6dc0642f48d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cerebellar Neoplasms - prevention & control</topic><topic>Cerebellar Neoplasms - surgery</topic><topic>Cerebellopontine Angle</topic><topic>Child</topic><topic>Clinical Competence</topic><topic>Facial Nerve - physiopathology</topic><topic>Female</topic><topic>Hearing Disorders - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neuroma, Acoustic - pathology</topic><topic>Neuroma, Acoustic - surgery</topic><topic>Otorhinolaryngologic Surgical Procedures - adverse effects</topic><topic>Postoperative Period</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiet, Richard J.</creatorcontrib><creatorcontrib>Mamikoglu, Bulent</creatorcontrib><creatorcontrib>Odom, Linda</creatorcontrib><creatorcontrib>Hoistad, Dick L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wiet, Richard J.</au><au>Mamikoglu, Bulent</au><au>Odom, Linda</au><au>Hoistad, Dick L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term results of the first 500 cases of acoustic neuroma surgery</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>124</volume><issue>6</issue><spage>645</spage><epage>651</epage><pages>645-651</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective: This retrospective study focuses on 2 outcome results after surgical intervention for acoustic neuroma: (1) facial nerve status, and (2) hearing preservation.
Study design: A total of 484 patients with an acoustic neuroma.
Results: Postoperative facial nerve outcomes were significantly different (
P < 0.001) according to the size of the tumors. Tumor size had even more influence on the immediate postoperative results. In addition, statistical significance (
P < 0.05) was demonstrated in comparing facial nerve outcomes with the surgeon's surgical experience. We also noted that as the patient's age increases, the likelihood for facial dysfunction may increase for all postoperative intervals. The overall success rate of retaining useful hearing was 27% (26 of 95). Class A hearing was retained in 66% (10 of 15) of cases operated on through middle fossa approach in the last 5 years.
Conclusion: This study demonstrates that tumor size and surgeon's experience are the most significant factors influencing the facial nerve status and hearing outcome after removal of acoustic neuroma.
(Otolaryngol Head Neck Surg 2001;124:645-51.)</abstract><cop>England</cop><pub>Mosby, Inc</pub><pmid>11391255</pmid><doi>10.1067/mhn.2001.116020</doi><tpages>7</tpages></addata></record> |
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| ispartof | Otolaryngology-head and neck surgery, 2001-06, Vol.124 (6), p.645-651 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Cerebellar Neoplasms - prevention & control Cerebellar Neoplasms - surgery Cerebellopontine Angle Child Clinical Competence Facial Nerve - physiopathology Female Hearing Disorders - etiology Humans Male Middle Aged Neuroma, Acoustic - pathology Neuroma, Acoustic - surgery Otorhinolaryngologic Surgical Procedures - adverse effects Postoperative Period Retrospective Studies Treatment Outcome |
| title | Long-term results of the first 500 cases of acoustic neuroma surgery |
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