title: Vestibular schwannoma surgical treatment.
abstract: Neurosurgical intervention remains the main step in the effective management of vestibular schwannomas. Extensive studies on vestibular schwannoma treatment have placed emphasis on preserving quality of life and neurological functions, particularly of the facial and vestibulocochlear nerves. Facial nerve preservation and hearing preservation have been achieved by significant advances in skull base microsurgical techniques and intraoperative neuromonitoring. Diffusion tensor imaging is a powerful and accurate method for preoperatively identifying the facial nerve in relation to vestibular schwannomas. Endoscopy offers excellent illumination of the anatomical structures and provides panoramic vision inside the surgical area. In this report, we focused on facial nerve and vestibulocochlear nerve preservation and analyzed the major techniques used for identifying the nerve-tumor relationship.
authors: Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
authors: Yong-Ping
authors: YP
authors: You
authors: Jun-Xia
authors: JX
authors: Zhang
authors: Ai-Lin
authors: AL
authors: Lu
authors: Ning
authors: N
authors: Liu
mesh_terms: D056324:Diffusion Tensor Imaging; D004724:Endoscopy; D005154:Facial Nerve / Q000473:pathology; D005453:Fluorescence; D006801:Humans; D016343:Monitoring, Intraoperative; D009464:Neuroma, Acoustic / Q000473:pathology / Q000601:surgery*