Comprehensive Management of Vestibular Schwannoma

Description:

The definitive resource on clinical management of vestibular schwannoma from world renowned experts

Although a histologically benign and relatively uncommon tumor, otolaryngologists and neurosurgeons have maintained a lasting and deep-rooted fascination with vestibular schwannoma, also known as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an increased understanding of the natural history of the disease, have made modern management of this tumor considerably more complex. Concurrently, new controversies have added to the original debates among pioneering surgeons, with the pendulum swinging between conservatism and definitive cure.

Comprehensive Management of Vestibular Schwannoma, by distinguished Mayo Clinic clinicians and renowned international contributors, is a comprehensive textbook covering all the clinical aspects of vestibular schwannoma management. Eighty-four chapters written by multidisciplinary experts including otolaryngologists, neurosurgeons, radiation oncologists, neurologists, neuroradiologists, and audiologists, ensure a balanced view of all treatment modalities for sporadic and neurofibromatosis type 2-associated vestibular schwannoma.

Key Features:

Evaluation, surgical and nonsurgical approaches, rehabilitation, controversies, and long-term clinical outcomes

Detailed illustrations by Robert Morreale, senior medical illustrator at the Mayo Clinic, highlight relevant anatomy and surgical approaches

Chapter summary tables provide readers with a rapid clinical reference derived from the published world literature

The chapter "Anatomy of Vestibular Schwannoma Surgery" by the late internationally renowned neurosurgeon Albert L. Rhoton Jr. reflects his major contributions on this subject

With inclusion of fundamental principles to advanced concepts, this is a robust resource for residents, fellows, and early attending physicians, as well as mid- to later-career physicians who care for patients with vestibular schwannoma.

Table of Contents:

Part I Background

1 History of Vestibular Schwannoma Surgery

2 Historical Development of Radiation Modalities for Vestibular Schwannoma

3 Epidemiology of Vestibular Schwannoma

4 Histopathology of Vestibular Schwannoma

5 Molecular Biology of Sporadic and NF2-Associated Vestibular Schwannoma

Part II Disease Presentation and Diagnostic Evaluation

6 Disease Presentation of Sporadic Vestibular Schwannoma

7 Auditory and Vestibular Testing Relevant to Vestibular Schwannoma

8 Diagnostic Imaging of Sporadic Vestibular Schwannoma and Other CPA Lesions

9 Emerging Imaging Techniques in Vestibular Schwannoma

10 MRI Safety and Imaging Quality in Patients with Cochlear Implants or Auditory Brainstem Implants with Retained Internal Magnets

Part III Management: Overview

11 Current Trends in Vestibular Schwannoma Management

12 Multidisciplinary Care of the Vestibular Schwannoma Patient: Building a Skull Base Team

13 Patient Counseling Following Diagnosis of Sporadic Vestibular Schwannoma

Part IV Management: Conservative Observation

14 Natural History of Tumor Growth in Sporadic Vestibular Schwannoma

Part V Management: Radiation

15 Principles of Radiobiology Relevant to Radiosurgery and Radiotherapy of Sporadic Vestibular Schwannoma

16 Gamma Knife Radiosurgery for Treatment of Sporadic Vestibular Schwannoma

17 Linear Accelerator Radiosurgery for Treatment of Vestibular Schwannoma (Non-CyberKnife)

18 Conventional Fractionation LINAC-Based Stereotactic Radiotherapy for Treatment of Sporadic Vestibular Schwannoma

19 CyberKnife Radiotherapy for Treatment of Sporadic Vestibular Schwannoma

20 Proton Beam Radiotherapy for Treatment of Sporadic Vestibular Schwannoma

21 Secondary Radiation Treatment of Vestibular Schwannoma After Prior Microsurgery or Radiosurgery

22 Radiation Therapy and Stereotactic Radiosurgery for Large Vestibular Schwannoma

23 Complications of Radiosurgery and Fractionated Radiotherapy for Vestibular Schwannoma

24 Risk of Radiation-Associated Tumorigenesis in the Treatment of Vestibular Schwannoma

25 Imaging Follow-up After Radiosurgery of Vestibular Schwannoma

Part VI Management: Microsurgery

26 General Anesthesia in Vestibular Schwannoma Surgery

27 Intraoperative Facial Nerve Monitoring During Vestibular Schwannoma Microsurgery

28 Intraoperative Eighth Nerve Monitoring During Vestibular Schwannoma Microsurgery

29 Training in Vestibular Schwannoma Microsurgery

30 Anatomy of Vestibular Schwannoma Surgery

31 Surgical Approach Selection for Vestibular Schwannoma Microsurgery

32 Management of the Facial Nerve During Vestibular Schwannoma Microsurgery

33 Translabyrinthine Approach for Vestibular Schwannoma Resection

34 Surgical Refinements to the Translabyrinthine Approach to the Cerebellopontine Angle

35 Retrosigmoid Approach for Medium to Large Vestibular Schwannoma

36 Retrosigmoid Approach for Hearing Preservation Vestibular Schwannoma Microsurgery

37 Middle Cranial Fossa Approach for Hearing Preservation Vestibular Schwannoma Microsurgery

38 Transotic Approach for Vestibular Schwannoma Resection

39 Transcanal Transpromontorial Endoscopic Approach for Vestibular Schwannoma Resection

40 Endoscopic Vestibular Schwannoma and Lateral Skull Base Surgery

41 Subtotal Resection of Sporadic Vestibular Schwannoma

42 Staged Resection of Large Vestibular Schwannoma

43 Microsurgery for Recurrent and Residual Vestibular Schwannoma

44 Salvage Microsurgery After Radiation Treatment of Vestibular Schwannoma

45 Avoidance and Management of Vascular Complications During Vestibular Schwannoma Surgery

46 Perioperative Management of Hydrocephalus

47 Postoperative Cerebrospinal Fluid Leak, Pseudomeningocele, and Meningitis: Risks, Avoidance, and Treatment

48 Postoperative Counseling, Restrictions, and Care

49 Postoperative Imaging Surveillance Following Vestibular Schwannoma Resection

Part VII Treatment Outcomes

50 Reporting of Hearing Outcome Data for Vestibular Schwannoma

51 Natural History of Hearing and Vestibular Function in Untreated Sporadic Vestibular Schwannoma

52 Hearing and Vestibular Function Loss After Radiation Treatment of Sporadic Vestibular Schwannoma

53 Results of Hearing Preservation Microsurgery for Sporadic Vestibular Schwannoma

54 Reporting of Facial Nerve Outcome Data for Vestibular Schwannoma

55 Facial Nerve Injury in Sporadic Vestibular Schwannoma: Mechanisms, Predictors, and Outcomes

56 Patient Self-Assessment of Symptom Disability and Handicap in Vestibular Schwannoma

57 Tinnitus in Sporadic Vestibular Schwannoma

58 Dizziness in Sporadic Vestibular Schwannoma

59 Epidemiology and Pathogenesis of Headache in Patients with Vestibular Schwannoma

60 Quality-of-Life Outcomes in Sporadic Vestibular Schwannoma

Part VIII Medical and Surgical Rehabilitation

61 Auditory Rehabilitation in Sporadic Vestibular Schwannoma

62 Nonoperative Facial Rehabilitation in Vestibular Schwannoma: Facial Neuromuscular Retraining

63 Medical and Surgical Care of the Eye in Facial Paralysis

64 Interposition Cable Nerve Graft of the Facial Nerve After Resection of Vestibular Schwannoma

65 Hypoglossal-to-Facial Nerve Transfer with Parotid Release for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma

66 V3 Masseteric Branch Reinnervation for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma

67 Gracilis Free Flap Rehabilitation of the Paralyzed Face in Vestibular Schwannoma

68 Static Procedures for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma

69 Vestibular Rehabilitation and “PreHab” in Sporadic Vestibular Schwannoma

70 Management of Pre- and Posttreatment Trigeminal Neuralgia in Vestibular Schwannoma

71 Postoperative Headache: Clinical Evaluation and Treatment in Patients Undergoing Surgery for Vestibular Schwannoma

72 The Acoustic Neuroma Association and Social Aspects of Support Group Care for Patients with Vestibular Schwannoma

Part IX Controversial or Challenging Aspects of Care

73 Management of Small Vestibular Schwannoma in Patients with Minimal Symptoms

74 What Is the Best Treatment for Small- to Medium-Sized Vestibular Schwannoma?

75 Management of Sporadic Vestibular Schwannoma in the Only Hearing Ear

76 Treatment of Cystic Vestibular Schwannoma

77 Primary Inner Ear (Intralabyrinthine) Schwannomas

Part X Neurofibromatosis Type 2

78 Genetics of Neurofibromatosis Type 2

79 Diagnosis and Evaluation of Neurofibromatosis Type 2

80 Natural History of Vestibular Schwannoma Growth and Hearing in Neurofibromatosis Type 2

81 Microsurgery for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma

82 Radiosurgery and Radiotherapy for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma

83 Medical Therapy for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma

84 Auditory Rehabilitation in Neurofibromatosis Type 2

Index