title: Recurrence of vestibular schwannomas after surgery.
abstract: The issue of recurrence of vestibular schwannomas is poorly studied by the surgical literature and is probably underestimated. Our own long-term retrospective analysis after translabyrinthine approach has indicated a 9.2% recurrence rate. This long-term event is mainly due to regrowth of microfragments that have been left in the operative field along the course of the facial nerve or at the surface of the pons. Management of recurrence depends on the tumor size and patient's condition. Our current policy is to propose a Gamma Knife radiosurgical treatment in eligible cases. Prospective long-term follow-up studies using serial MR imaging after radical removal should bring reliable data about the incidence of vestibular schwannoma recurrence.
authors.affiliation: Service de Neurochirurgie, Hôpital Sainte-Marguerite, Assistance Publique-Hôpitaux de Marseille, Marseille, France.
authors.forename: Pierre-Hugues
authors.initials: PH
authors.lastname: Roche
authors.forename: Telmo
authors.initials: T
authors.lastname: Ribeiro
authors.forename: Muhamad
authors.initials: M
authors.lastname: Khalil
authors.forename: Outouma
authors.initials: O
authors.lastname: Soumare
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Thomassin
authors.forename: William
authors.initials: W
authors.lastname: Pellet
mesh_terms: D006801:Humans; D015994:Incidence; D008866:Microsurgery; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D009464:Neuroma, Acoustic / Q000473:pathology / Q000601:surgery*; D016634:Radiosurgery