Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery
Stereotactic radiosurgery (SRS) is widely used for treating vestibular schwannoma (VS), offering high tumour control rates, especially in small to medium-sized tumours. However, a subset of patients experiences SRS failure, requiring subsequent salvage microsurgery (MS). The primary reason for salv...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2024-09-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://jpma.org.pk/index.php/public_html/article/view/22307 |
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| author | Zanib Javed Muhammad Shahzad Shamim |
| author_facet | Zanib Javed Muhammad Shahzad Shamim |
| author_sort | Zanib Javed |
| collection | DOAJ |
| description |
Stereotactic radiosurgery (SRS) is widely used for treating
vestibular schwannoma (VS), offering high tumour
control rates, especially in small to medium-sized
tumours. However, a subset of patients experiences SRS
failure, requiring subsequent salvage microsurgery (MS).
The primary reason for salvage surgery is continued
tumour growth, but other causes include symptom
progression and cystic enlargement. Salvage surgery is
more challenging due to increased tumour adhesion to
critical structures, resulting in higher complication rates,
particularly for facial nerve preservation. Studies suggest
subtotal resection may offer better outcomes than gross
total resection in terms of facial nerve function, though
treatment remains complex and outcomes vary.
Keywords: Vestibular schwannoma, stereotactic
radiosurgery, salvage surgery, facial nerve.
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| format | Article |
| id | doaj-art-35bb68b7663142ceb4668e9c3585abd9 |
| institution | DOAJ |
| issn | 0030-9982 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj-art-35bb68b7663142ceb4668e9c3585abd92025-08-20T02:41:24ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-09-01741010.47391/JPMA.24-84Role of Surgery in Vestibular Schwannoma following prior Stereotactic RadiosurgeryZanib Javed0Muhammad Shahzad Shamim1Department of Neurosurgery, Aga Khan University Hospital, KarachiDepartment of Neurosurgery, Aga Khan University Hospital, Karachi Stereotactic radiosurgery (SRS) is widely used for treating vestibular schwannoma (VS), offering high tumour control rates, especially in small to medium-sized tumours. However, a subset of patients experiences SRS failure, requiring subsequent salvage microsurgery (MS). The primary reason for salvage surgery is continued tumour growth, but other causes include symptom progression and cystic enlargement. Salvage surgery is more challenging due to increased tumour adhesion to critical structures, resulting in higher complication rates, particularly for facial nerve preservation. Studies suggest subtotal resection may offer better outcomes than gross total resection in terms of facial nerve function, though treatment remains complex and outcomes vary. Keywords: Vestibular schwannoma, stereotactic radiosurgery, salvage surgery, facial nerve. https://jpma.org.pk/index.php/public_html/article/view/22307 |
| spellingShingle | Zanib Javed Muhammad Shahzad Shamim Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery Journal of the Pakistan Medical Association |
| title | Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery |
| title_full | Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery |
| title_fullStr | Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery |
| title_full_unstemmed | Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery |
| title_short | Role of Surgery in Vestibular Schwannoma following prior Stereotactic Radiosurgery |
| title_sort | role of surgery in vestibular schwannoma following prior stereotactic radiosurgery |
| url | https://jpma.org.pk/index.php/public_html/article/view/22307 |
| work_keys_str_mv | AT zanibjaved roleofsurgeryinvestibularschwannomafollowingpriorstereotacticradiosurgery AT muhammadshahzadshamim roleofsurgeryinvestibularschwannomafollowingpriorstereotacticradiosurgery |