title: Management of sporadic vestibular schwannoma.
abstract: Vestibular schwannomas (VS) comprise 8% of all intracranial tumors and 90% of cerebellopontine angle and internal auditory canal neoplasms. Secondary to the widespread adoption of screening protocols for asymmetrical hearing loss and the increasing use of advanced imaging, the number of VS diagnosed each year continues to rise, while the average size has declined. Microsurgery remains the treatment of choice for large tumors, however the management of small- to medium-sized VS remains highly controversial with options including observation, radiotherapy, or microsurgery. Within this chapter, the authors provide an overview of the contemporary management of VS, reviewing important considerations and common controversies.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: carlson.matthew@mayo.edu.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Carlson
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Neurologic Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Link
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, Nashville, TN 37232, USA.
authors.forename: George B
authors.initials: GB
authors.lastname: Wanna
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA; Department of Neurologic Surgery, Mayo Clinic School of Medicine, 200 First Street Southwest, Rochester, MN 55905, USA.
authors.forename: Colin L W
authors.initials: CL
authors.lastname: Driscoll
mesh_terms: D002530:Cerebellopontine Angle / Q000601:surgery*; D019468:Disease Management; D007758:Ear, Inner / Q000601:surgery*; D034381:Hearing Loss; D006801:Humans; D008279:Magnetic Resonance Imaging; D008866:Microsurgery / Q000379:methods*; D009464:Neuroma, Acoustic / Q000601:surgery*; D011788:Quality of Life; D016896:Treatment Outcome
keywords: Acoustic neuroma; Cerebellopontine angle; Internal auditory canal; Skull base; Vestibular schwannoma