Management of intralabyrinthine schwannomas
Auris Nasus Larynx, ISSN: 0385-8146, Vol: 34, Issue: 4, Page: 459-463
2007
- 25Citations
- 38Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations25
- Citation Indexes25
- 25
- CrossRef10
- Captures38
- Readers38
- 38
Article Description
Our protocol to manage the intralabyrinthine schwannoma (ILS). Retrospective chart review of 7 consecutive patients managed for ILS. Five patients underwent surgical removal of the lesions and none experienced significant complications or recurrent disease. One patient refused surgical treatment and was closely followed by serial MRI scans with no signs of tumor growth. One patient is presently managed conservatively due to a good hearing. Diagnosis of ILS is based on high resolution MRI scans and should be included in the differential diagnosis of patients investigated for cochleovestibular symptoms. Treatment modality of ILS is controversial and depends patients’ age, severity of vertigo and hearing loss. In the authors’ experience surgery is indicated in all cases with invalidating vertigo and in the young patients with severe hearing loss. Conservative strategy is advised in older patients and in cases with preserved good hearing and no invalidating vertigo. These patients must be followed up using high resolution MRI because of the risk of tumor growth into the internal auditory canal. While tumors with exclusive involvement of the inner ear may be removed by means of a completely extradural approach, tumor growth with involvement of the internal auditory canal dictates the necessity of opening the dura exposing the patients to the potential risks associated with the procedure.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S038581460700051X; http://dx.doi.org/10.1016/j.anl.2007.03.002; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=35348951978&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/17467216; https://linkinghub.elsevier.com/retrieve/pii/S038581460700051X; https://dx.doi.org/10.1016/j.anl.2007.03.002
Elsevier BV
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