Vestibular Schwannoma and Tinnitus: A Systematic Review of Microsurgery Compared to Gamma Knife Radiosurgery

被引:1
作者
King, Ava M. [1 ]
Cooper, Jaimee N. [1 ,2 ]
Oganezova, Karina [1 ]
Mittal, Jeenu [1 ]
McKenna, Keelin [1 ]
Godur, Dimitri A. [1 ]
Zalta, Max [1 ]
Danesh, Ali A. [1 ,3 ,4 ]
Mittal, Rahul [1 ]
Eshraghi, Adrien A. [1 ,5 ,6 ]
机构
[1] Univ Miami, Dept Otolaryngol, Miller Sch Med, Hearing Res & Cochlear Implant Lab, Miami, FL 33136 USA
[2] New York Med Coll, Sch Med, Valhalla, NY 10595 USA
[3] Florida Atlantic Univ, Dept Commun Sci & Disorders, Boca Raton, FL 33431 USA
[4] Florida Atlantic Univ, Schmidt Coll Med, Dept Integrated Med Sci, Boca Raton, FL 33431 USA
[5] Univ Miami, Miller Sch Med, Dept Neurol Surg, Miami, FL 33136 USA
[6] Univ Miami, Dept Biomed Engn, Coral Gables, FL 33143 USA
关键词
vestibular schwannoma; tinnitus; gamma knife; microsurgery; surgical resection; QUALITY-OF-LIFE; TERM-FOLLOW-UP; SURGERY; HEARING; SERIES;
D O I
10.3390/jcm13113065
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Vestibular schwannoma (VS) is a benign tumor of the eighth cranial nerve formed from neoplastic Schwann cells. Although VS can cause a variety of symptoms, tinnitus is one of the most distressing symptoms for patients and can greatly impact quality of life. The objective of this systematic review is to comprehensively examine and compare the outcomes related to tinnitus in patients undergoing treatment for VS. Specifically, it evaluates patient experiences with tinnitus following the removal of VS using the various surgical approaches of traditional surgical resection and gamma knife radiosurgery (GKS). By delving into various aspects such as the severity of tinnitus post-treatment, the duration of symptom relief, patient quality of life, new onset of tinnitus after VS treatment, and any potential complications or side effects, this review aims to provide a detailed analysis of VS treatment on tinnitus outcomes. Methods: Following PRISMA guidelines, articles were included from PubMed, Science Direct, Scopus, and EMBASE. Quality assessment and risk of bias analysis were performed using a ROBINS-I tool. Results: Although VS-associated tinnitus is variable in its intensity and persistence post-resection, there was a trend towards a decreased tinnitus burden in patients. Irrespective of the surgical approach or the treatment with GKS, there were cases of persistent or worsened tinnitus within the studied cohorts. Conclusion: The findings of this systematic review highlight the complex relationship between VS resection and tinnitus outcomes. These findings underscore the need for individualized patient counseling and tailored treatment approaches in managing VS-associated tinnitus. The findings of this systematic review may help in guiding clinicians towards making more informed and personalized healthcare decisions. Further studies must be completed to fill gaps in the current literature.
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页数:14
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