Perioperative complications after translabyrinthine removal of large or giant vestibular schwannoma: Outcomes for 123 patients.
CONCLUSIONS
Large vestibular schwannomas are benign but dangerous tumors. The translabyrinthine approach allows the surgeon to limit vital and functional complications due to the disease itself or to its surgical removal.


OBJECTIVE
Morbi-mortality study focused on large vestibular schwannoma surgically treated by translabyrinthine removal.


METHODS
This was a retrospective review of prospectively collected data in a series of 123 patients who underwent translabyrinthine removal of a large vestibular schwannoma (>4 cm in the cerebellopontine angle, stage IV). All surgical and medical complications and facial function were reviewed, with a 1-year follow-up.


RESULTS
Mortality during the first year was 0.8% (one case of infarct of the anterior inferior cerebellar artery, fatal after 8 months). In all, 4.9% of patients underwent a second surgery (for delayed hemorrhage or cerebrospinal fluid leak) during the first months after removal of a large vestibular schwannoma; 3.2% of patients experienced definitive neurologic complications (one death, one cerebellar disturbance, and two cases of 10th cranial nerve palsy).
Charpiot
Anne
A
Département d'Otologie et d'Otoneurochirurgie, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre-Bénite, France. anne.charpiot@chru-strasbourg.fr
Tringali
Stéphane
S
Zaouche
Sandra
S
Ferber-Viart
Chantal
C
Dubreuil
Christian
C
D000328:Adult; D000368:Aged; D001037:Aphasia / Q000209:etiology; D001933:Brain Stem / Q000473:pathology; D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology; D007758:Ear, Inner / Q000601:surgery*; D004487:Edema / Q000209:etiology; D004576:Electromyography; D004827:Epilepsy / Q000209:etiology; D005154:Facial Nerve / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006408:Hematoma, Subdural / Q000209:etiology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000209:etiology; D008875:Middle Aged; D009367:Neoplasm Staging; D009422:Nervous System Diseases / Q000209:etiology; D009464:Neuroma, Acoustic / Q000473:pathology / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000009:adverse effects* / Q000401:mortality*; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome