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Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) ›› 2024, Vol. 14 ›› Issue (01): 1-7. doi: 10.3877/cma.j.issn.2095-123X.2024.01.001

• Editorial •     Next Articles

Principles and basis for selecting treatment methods for small and medium-sized vestibular schwannoma

Lihua Chen()   

  1. Department of Neurosurgery, Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital, Chengdu 610072, China
  • Received:2023-05-12 Online:2024-02-15 Published:2024-02-07
  • Contact: Lihua Chen

Abstract:

There are various treatment strategies for small and medium-sized vestibular schwannoma (VS), including microsurgery (MS), stereotactic radiosurgery surgery (SRS), and conservative treatment (CT). The three treatment plans have similar results in tumor control and facial nerve function, providing good results in disease control and complications, with the main difference being the protection of hearing. At present, the optimal treatment method for small and medium-sized VS is still controversial, especially for young patients with normal hearing, the necessity of treatment, and the optimal timing for hearing protection. In clinical practice, it is necessary to choose the treatment mode individually and reasonably. This article summarizes and analyzes the advantages and disadvantages of three treatment modes, aiming to achieve long-term functional preservation and improve the quality of life of patients.

Key words: Small and medium-sized vestibular schwannoma, Microsurgery, Stereotactic radiosurgery treatment, Conservative treatment, Hearing protection

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