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Prediction of facial nerve outcomes after surgery for vestibular schwannoma using machine learning-based models: a systematic review and meta-analysis.
Neurosurg Rev
January 2025
Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA.
Postoperative facial nerve (FN) dysfunction is associated with a significant impact on the quality of life of patients and can result in psychological stress and disorders such as depression and social isolation. Preoperative prediction of FN outcomes can play a critical role in vestibular schwannomas (VSs) patient care. Several studies have developed machine learning (ML)-based models in predicting FN outcomes following resection of VS.
View Article and Find Full Text PDFPreoperative Quality of Life in Patients with Small Vestibular Schwannomas.
J Int Adv Otol
November 2024
Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, Germany.
Background: Vestibular schwannomas (VS) are benign tumors arising from the eighth cranial nerve. They often cause no symptoms for a long period of time. Due to the improved availability and quality of magnetic resonance imaging diagnostics, even small tumors can be diagnosed at an early stage.
View Article and Find Full Text PDFTreatment options for unilateral vestibular schwannoma: a network meta-analysis.
BMC Cancer
December 2024
Department of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
This study aimed to explore the effect of observation, microsurgery, and radiotherapy for patients with vestibular schwannoma (VS). We searched PubMed, Medline, Embase, Web of Science, and Cochrane library from their establishment to July 31, 2024. 34 non-RCTs and 1 RCT that included 6 interventions were analyzed.
View Article and Find Full Text PDFManagement of treatment-naïve Koos grade IV vestibular schwannomas using hypofractionated Gamma Knife radiosurgery: a retrospective single-institution study.
Neurosurg Rev
November 2024
Department of Neurosurgery, Koç University School of Medicine, Türkiye Davutpasa Caddesi No:4, Istanbul, Zeytinburnu/İstanbul, 34010, Turkey.
While single-fraction Gamma Knife radiosurgery (GKRS) has shown efficacy in managing vestibular schwannomas (VSs), some concerns have been raised regarding its safety profile, particularly in the context of hearing preservation. Hypofractionation has emerged as a promising approach to improving the safety profile. This retrospective, single-institution study evaluated patient outcomes following hypofractionated GKRS (hf-GKRS) for treatment-naïve Koos grade IV VSs.
View Article and Find Full Text PDFUnexpected Complications Following Accidental Petrosal Vein Damage during Standard Retrosigmoid Surgery for a Large Vestibular Schwannoma: Introspection and Lessons Learned.
Acta Neurochir Suppl
November 2024
Department of Neurosurgery, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
We present the case of a patient with a vestibular schwannoma (VS) who developed vascular complications following surgery and discuss the potential mechanisms. Additionally, we systematically searched the literature to identify citations on vascular and brain stem complications following VS surgery. We excluded the articles related to facial and vestibulocochlear nerve-related complications and other complications, such as headache, tinnitus, and ataxia.
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