关键词: acoustic neuroma hearing preservation microsurgery middle fossa approach retrosigmoid approach stereotactic radiosurgery vestibular schwannoma

Mesh : Humans Neuroma, Acoustic / surgery Hearing Loss / etiology prevention & control

来  源:   DOI:10.14639/0392-100X-suppl.1-44-2024-N2900   PDF(Pubmed)

Abstract:
The aim of this systematic review is to analyse the role of hearing preservation surgery for vestibular schwannoma. The complications and hearing outcomes of the single surgical techniques were investigated and compared with those of less invasive strategies, such as stereotactic radiotherapy and wait and scan policy. This systematic review and meta-analysis was performed according to the PRISMA guidelines. All included studies were published in English between 2000 and 2022. Literature data show that hearing preservation is achieved in less than 25% of patients after surgery and in approximately half of cases after stereotactic radiotherapy, even if data on long-term preservation are currently not available.
摘要:
本系统综述的目的是分析听力保留手术对前庭神经鞘瘤的作用。研究了单一手术技术的并发症和听力结果,并将其与微创策略的并发症和听力结果进行了比较。如立体定向放射治疗和等待和扫描策略。本系统评价和荟萃分析是根据PRISMA指南进行的。所有纳入的研究均在2000年至2022年间以英文发表。文献数据表明,手术后不到25%的患者和立体定向放疗后大约一半的患者实现了听力保护,即使目前没有长期保存的数据。
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