Acoustic neuroma (vestibular schwannoma): surgical results on 240 patients operated on dorsal decubitus position
To evaluate the result of the surgical treatment of vestibular schwannoma (VS) operated in dorsal decubitus (mastoid position). 240 patients with a VS underwent a retrosigmoid craniotomy for tumor resection in dorsal decubitus (mastoid position). The function of 7th and 8th cranial nerves was monito...
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| Veröffentlicht in: | Arquivos de neuro-psiquiatria 2007-09, Vol.65 (3A), p.605-609 |
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| creator | Cardoso, Arquimedes Cavalcante Fernandes, Yvens B Ramina, Ricardo Borges, Guilherme |
| description | To evaluate the result of the surgical treatment of vestibular schwannoma (VS) operated in dorsal decubitus (mastoid position).
240 patients with a VS underwent a retrosigmoid craniotomy for tumor resection in dorsal decubitus (mastoid position). The function of 7th and 8th cranial nerves was monitored during surgery and the opened internal auditory canal (IAC) was reconstructed using a vascularized dura flap, muscle and fibrin glue.
Complete tumor removal was achieved in 99% of the cases, with a mortality of 1.6%. The facial nerve function was preserved in 85% of cases and hearing in 40% of the patients (with preoperative hearing) with tumors of up 1.5 cm in diameter. The incidence of cerebrospinal fluid leak was 5.8% and meningitis 2.9%. Venous air embolism was registered in 3% of cases; it was not associated to mortality.
Surgical removal of VS in dorsal position has several advantages; the morbidity and mortality are very low. |
| doi_str_mv | 10.1590/S0004-282X2007000400011 |
| format | Article |
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240 patients with a VS underwent a retrosigmoid craniotomy for tumor resection in dorsal decubitus (mastoid position). The function of 7th and 8th cranial nerves was monitored during surgery and the opened internal auditory canal (IAC) was reconstructed using a vascularized dura flap, muscle and fibrin glue.
Complete tumor removal was achieved in 99% of the cases, with a mortality of 1.6%. The facial nerve function was preserved in 85% of cases and hearing in 40% of the patients (with preoperative hearing) with tumors of up 1.5 cm in diameter. The incidence of cerebrospinal fluid leak was 5.8% and meningitis 2.9%. Venous air embolism was registered in 3% of cases; it was not associated to mortality.
Surgical removal of VS in dorsal position has several advantages; the morbidity and mortality are very low.</description><identifier>ISSN: 0004-282X</identifier><identifier>ISSN: 1678-4227</identifier><identifier>EISSN: 0004-282X</identifier><identifier>DOI: 10.1590/S0004-282X2007000400011</identifier><identifier>PMID: 17876399</identifier><language>eng</language><publisher>Brazil: Academia Brasileira de Neurologia - ABNEURO</publisher><subject>Cranial Nerve Neoplasms - pathology ; Cranial Nerve Neoplasms - surgery ; Craniotomy - methods ; Craniotomy - standards ; Dura Mater - surgery ; Fibrin Tissue Adhesive - therapeutic use ; Humans ; Microsurgery - standards ; Neuroma, Acoustic - pathology ; Neuroma, Acoustic - surgery ; NEUROSCIENCES ; PSYCHIATRY ; Supine Position ; Surgical Flaps - pathology ; Tissue Adhesives - therapeutic use ; Treatment Outcome ; Vestibulocochlear Nerve - pathology ; Vestibulocochlear Nerve - surgery ; Vestibulocochlear Nerve Diseases - pathology ; Vestibulocochlear Nerve Diseases - surgery</subject><ispartof>Arquivos de neuro-psiquiatria, 2007-09, Vol.65 (3A), p.605-609</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-332b6fcc79202db562eb3eb5644f5f8b7482a132bf4f007891546797ade711ca3</citedby><cites>FETCH-LOGICAL-c430t-332b6fcc79202db562eb3eb5644f5f8b7482a132bf4f007891546797ade711ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17876399$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cardoso, Arquimedes Cavalcante</creatorcontrib><creatorcontrib>Fernandes, Yvens B</creatorcontrib><creatorcontrib>Ramina, Ricardo</creatorcontrib><creatorcontrib>Borges, Guilherme</creatorcontrib><title>Acoustic neuroma (vestibular schwannoma): surgical results on 240 patients operated on dorsal decubitus position</title><title>Arquivos de neuro-psiquiatria</title><addtitle>Arq Neuropsiquiatr</addtitle><description>To evaluate the result of the surgical treatment of vestibular schwannoma (VS) operated in dorsal decubitus (mastoid position).
240 patients with a VS underwent a retrosigmoid craniotomy for tumor resection in dorsal decubitus (mastoid position). The function of 7th and 8th cranial nerves was monitored during surgery and the opened internal auditory canal (IAC) was reconstructed using a vascularized dura flap, muscle and fibrin glue.
Complete tumor removal was achieved in 99% of the cases, with a mortality of 1.6%. The facial nerve function was preserved in 85% of cases and hearing in 40% of the patients (with preoperative hearing) with tumors of up 1.5 cm in diameter. The incidence of cerebrospinal fluid leak was 5.8% and meningitis 2.9%. Venous air embolism was registered in 3% of cases; it was not associated to mortality.
Surgical removal of VS in dorsal position has several advantages; the morbidity and mortality are very low.</description><subject>Cranial Nerve Neoplasms - pathology</subject><subject>Cranial Nerve Neoplasms - surgery</subject><subject>Craniotomy - methods</subject><subject>Craniotomy - standards</subject><subject>Dura Mater - surgery</subject><subject>Fibrin Tissue Adhesive - therapeutic use</subject><subject>Humans</subject><subject>Microsurgery - standards</subject><subject>Neuroma, Acoustic - pathology</subject><subject>Neuroma, Acoustic - surgery</subject><subject>NEUROSCIENCES</subject><subject>PSYCHIATRY</subject><subject>Supine Position</subject><subject>Surgical Flaps - pathology</subject><subject>Tissue Adhesives - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Vestibulocochlear Nerve - pathology</subject><subject>Vestibulocochlear Nerve - surgery</subject><subject>Vestibulocochlear Nerve Diseases - pathology</subject><subject>Vestibulocochlear Nerve Diseases - surgery</subject><issn>0004-282X</issn><issn>1678-4227</issn><issn>0004-282X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUU1LxDAQDaK46-pf0JxED12TNG0ab8viFyx4UMFbSdNUs3STmjSK_97UXVQQ9DDMvMx7meENAEcYTXHG0dkdQogmpCCPBCE2gBgYb4HxV2P7Rz0Ce94vESKUc7YLRpgVLE85H4NuJm3wvZbQqODsSsCTVxVxFVrhoJfPb8KY-Hx6Dn1wT1qKFjrlQ9t7aA0kFMFO9FqZAXfKiV7VQ6O2zkdqrWSodB887KzXvbZmH-w0ovXqYJMn4OHy4n5-nSxur27ms0UiaYr6JE1JlTdSMk4QqassJ6pKVcyUNllTVIwWROBIamgTHSg4zmjOOBO1YhhLkU7AdP2vl1q1tlza4EwcWH5aV_6yLgqO14LO2ZcQPShX2kvVtsKoaFGZF6RAmOT_EuPChPGcRyJbE6Wz3jvVlJ3TK-HeS4zK4Yx_7HK4GRGqlaq_dZu7pR_X45bR</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Cardoso, Arquimedes Cavalcante</creator><creator>Fernandes, Yvens B</creator><creator>Ramina, Ricardo</creator><creator>Borges, Guilherme</creator><general>Academia Brasileira de Neurologia - ABNEURO</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>7TK</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20070901</creationdate><title>Acoustic neuroma (vestibular schwannoma): surgical results on 240 patients operated on dorsal decubitus position</title><author>Cardoso, Arquimedes Cavalcante ; Fernandes, Yvens B ; Ramina, Ricardo ; Borges, Guilherme</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-332b6fcc79202db562eb3eb5644f5f8b7482a132bf4f007891546797ade711ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Cranial Nerve Neoplasms - pathology</topic><topic>Cranial Nerve Neoplasms - surgery</topic><topic>Craniotomy - methods</topic><topic>Craniotomy - standards</topic><topic>Dura Mater - surgery</topic><topic>Fibrin Tissue Adhesive - therapeutic use</topic><topic>Humans</topic><topic>Microsurgery - standards</topic><topic>Neuroma, Acoustic - pathology</topic><topic>Neuroma, Acoustic - surgery</topic><topic>NEUROSCIENCES</topic><topic>PSYCHIATRY</topic><topic>Supine Position</topic><topic>Surgical Flaps - pathology</topic><topic>Tissue Adhesives - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Vestibulocochlear Nerve - pathology</topic><topic>Vestibulocochlear Nerve - surgery</topic><topic>Vestibulocochlear Nerve Diseases - pathology</topic><topic>Vestibulocochlear Nerve Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cardoso, Arquimedes Cavalcante</creatorcontrib><creatorcontrib>Fernandes, Yvens B</creatorcontrib><creatorcontrib>Ramina, Ricardo</creatorcontrib><creatorcontrib>Borges, Guilherme</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos de neuro-psiquiatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cardoso, Arquimedes Cavalcante</au><au>Fernandes, Yvens B</au><au>Ramina, Ricardo</au><au>Borges, Guilherme</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acoustic neuroma (vestibular schwannoma): surgical results on 240 patients operated on dorsal decubitus position</atitle><jtitle>Arquivos de neuro-psiquiatria</jtitle><addtitle>Arq Neuropsiquiatr</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>65</volume><issue>3A</issue><spage>605</spage><epage>609</epage><pages>605-609</pages><issn>0004-282X</issn><issn>1678-4227</issn><eissn>0004-282X</eissn><abstract>To evaluate the result of the surgical treatment of vestibular schwannoma (VS) operated in dorsal decubitus (mastoid position).
240 patients with a VS underwent a retrosigmoid craniotomy for tumor resection in dorsal decubitus (mastoid position). The function of 7th and 8th cranial nerves was monitored during surgery and the opened internal auditory canal (IAC) was reconstructed using a vascularized dura flap, muscle and fibrin glue.
Complete tumor removal was achieved in 99% of the cases, with a mortality of 1.6%. The facial nerve function was preserved in 85% of cases and hearing in 40% of the patients (with preoperative hearing) with tumors of up 1.5 cm in diameter. The incidence of cerebrospinal fluid leak was 5.8% and meningitis 2.9%. Venous air embolism was registered in 3% of cases; it was not associated to mortality.
Surgical removal of VS in dorsal position has several advantages; the morbidity and mortality are very low.</abstract><cop>Brazil</cop><pub>Academia Brasileira de Neurologia - ABNEURO</pub><pmid>17876399</pmid><doi>10.1590/S0004-282X2007000400011</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Cranial Nerve Neoplasms - pathology Cranial Nerve Neoplasms - surgery Craniotomy - methods Craniotomy - standards Dura Mater - surgery Fibrin Tissue Adhesive - therapeutic use Humans Microsurgery - standards Neuroma, Acoustic - pathology Neuroma, Acoustic - surgery NEUROSCIENCES PSYCHIATRY Supine Position Surgical Flaps - pathology Tissue Adhesives - therapeutic use Treatment Outcome Vestibulocochlear Nerve - pathology Vestibulocochlear Nerve - surgery Vestibulocochlear Nerve Diseases - pathology Vestibulocochlear Nerve Diseases - surgery |
| title | Acoustic neuroma (vestibular schwannoma): surgical results on 240 patients operated on dorsal decubitus position |
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