Vestibular Schwannoma, An Issue of Otolaryngologic Clinics of North America

1st Edition, Volume 56-3 - May 2, 2023
Editors: Erika Woodson, Matthew Carlson
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 7 0 - 6
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 8 3 7 5 - 1

In this issue of Otolaryngologic Clinics, guest editors Drs. Erika Woodson and Matthew Carlson bring their considerable expertise to the topic of Vestibular Schwannoma. Top experts… Read more

Vestibular Schwannoma, An Issue of Otolaryngologic Clinics of North America

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In this issue of Otolaryngologic Clinics, guest editors Drs. Erika Woodson and Matthew Carlson bring their considerable expertise to the topic of Vestibular Schwannoma. Top experts in the field cover key topics such as evidenced-based management and new conceptual framework for wait-and-scan management of vestibular schwannoma; optimizing facial nerve outcomes during microsurgery; management of NF2-associated vestibular schwannomas; medical therapy for vestibular schwannoma; salvage management of vestibular schwannoma; and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Epidemiology and Risk Factors for Development of Sporadic Vestibular Schwannoma
Key points
Introduction and epidemiology
Familial risk
Cell phone use
Noise exposure
Smoking
Aspirin
Summary
Clinics care points
Disclosure
Updates on Tumor Biology in Vestibular Schwannoma
Key points
Overview of vestibular schwannnoma
Summary
Clinics care points
Disclosure
Natural History of Hearing Loss in Sporadic Vestibular Schwannoma
Key points
Background
Evaluation
Progression
Pathogenesis
Discussion
Summary
Clinics care points
Declaration of Interests
Introducing an Evidence-Based Approach to Wait-And-Scan Management of Sporadic Vestibular Schwannoma: Size Threshold Surveillance
Key points
Motivation for a paradigm shift in observation management
Clinically meaningful size thresholds to guide timing of treatment
Quality of life data and implications for small tumors
Putting it all together: size threshold surveillance
Summary
Clinics care points
Funding
Guiding Patients Through Decision-Making in Management of Sporadic Vestibular Schwannoma
Key points
Introduction
Management options for sporadic vestibular schwannoma
Decision-making criteria in vestibular schwannoma management
Communication strategies in shared decision-making
Framing the conversation for shared decision-making
Cultivating inclusivity in decision-making
Summary
Clinics care points
Intraoperative Cochlear Nerve Monitoring in Vestibular Schwannoma Microsurgery
Key points
Introduction
Hearing preservation vestibular schwannoma microsurgery
Alternative monitoring methods during microsurgery
Clinics care points
Contributions
Disclosures
Translabyrinthine Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Patient Outcomes
Key points
Introduction
Discussion
Summary
Clinics care points
Declaration of Interests
Middle Cranial Fossa Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results
Key points
Introduction
Patient selection
Surgical technique and pearls
Complications and risks
Hearing outcomes
Summary
Clinics care points
Disclosure
Retrosigmoid Approach for Sporadic Vestibular Schwannoma: Patient Selection, Technical Pearls, and Hearing Results
Key points
Introduction, historical context, and background
Discussion
Selected hearing preservation results
Clinics care points
Disclosure
Radiation for Sporadic Vestibular Schwannoma: An Update on Modalities, Emphasizing Hearing Loss, Side Effects, and Tumor Control
Key points
Introduction
Definitions
Techniques
Hearing results
Role in treating large tumors
Summary
Clinics care points
Management of Neurofibromatosis Type 2-Associated Vestibular Schwannomas
Key points
Introduction
Evaluation
Management
Summary
Clinics care points
Targeted Therapies in the Treatment of Vestibular Schwannomas: Current State and New Horizons
Key points
Introduction
Clinical trials completed
Clinical trials in progress
Future directions
Clinics care points
Financial disclosures
Salvage Management of Vestibular Schwannoma
Key points
Introduction
Surgical failures
Resection followed by radiosurgery
Resection followed by resection
Radiosurgery failures
Radiosurgery followed by repeat radiosurgery
Radiosurgery followed by salvage resection
Summary
Clinics care points
Disclosure
Management of Complications in Vestibular Schwannoma Surgery
Key points
Introduction
Summary
Declaration of Interests
Quality of Life in Sporadic Vestibular Schwannoma
Key points
The growing centrality of quality of life in sporadic vestibular schwannoma
Overview of disease-specific quality of life instruments in vestibular schwannoma
Quality of life outcomes
Summary
Clinics care points
Cochlear Implantation in Sporadic Vestibular Schwannoma and Neurofibromatosis Type II
Key points
Introduction
Sporadic versus neurofibromatosis type 2 vestibular schwannoma
Vestibular schwannoma treatment options
Hearing outcomes
MRI
Summary
Clinics care points
Disclosure
Advances in Facial Reanimation
Key points
Introduction
Management of the upper third of the face
Management of the midface and lower face
Summary
Financial disclosures
Conflict of interest
The Future of Vestibular Schwannoma Management
Key points
Introduction
Diagnosis, Prognosis, and Monitoring
Biomarkers
Advanced Imaging
Patient-Specific Stem Cell-Derived Models
Treatment
The Future of Radiation Therapy
The Future of Microsurgery
Therapeutic agents
Immunotherapy
Gene Therapy
Summary
Clinics care points
Declaration of Interests

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Vestibular Schwannoma, An Issue of Otolaryngologic Clinics of North America

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Erika Woodson

Matthew Carlson