Current practices in vestibular schwannoma management: A survey of American and Canadian neurosurgeons

被引：5

作者：

Fusco, Matthew R. ^{[1
,2
]}

Fisher, Winfield S. ^{[1
,2
]}

McGrew, Benjamin M. ^{[1
,2
]}

Walters, Beverly C. ^{[1
,2
]}

机构：

[1] UAB Dept Surg, Div Neurosurg, Birmingham, AL 25294 USA

[2] UAB Dept Surg, Div Otolaryngol, Birmingham, AL 25294 USA

来源：

CLINICAL NEUROLOGY AND NEUROSURGERY | 2014年 / 127卷

关键词：

Acoustic neuroma; Stereotactic radiosurgery; Skull base surgery; Interdisciplinary team; ACOUSTIC NEUROMA SURGERY; LEARNING-CURVE;

D O I：

10.1016/j.clineuro.2014.10.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives: Comprehensive therapy for vestibular schwannomas has changed dramatically over the past fifty years. Previously, neurosurgeons were most likely to treat these tumors via an independent surgical approach. Currently, many neurosurgeons treat vestibular schwannomas employing an interdisciplinary team approach with neuro-otologists and radiation oncologists. This survey aims to determine the current treatment paradigm for vestibular schwannomas among American and Canadian neurosurgeons, with particular attention to the utilization of a team approach to the surgical resection of these lesions. Methods: A seventeen part survey questionnaire was sent by electronic mail to residency trained members of the American Association of Neurological Surgeons currently practicing in Canada or the United States. Questions were divided into groups regarding physician background, overall practice history, recent practice history, opinions on treatment paradigms, and experience with an interdisciplinary team approach. Results: Seven hundred and six responses were received. The vast majority of neurosurgeons surgically resect vestibular schwannomas as part of an interdisciplinary team (85.7%). Regional variations were observed in the use of an interdisciplinary team: 52.3% of responding neurosurgeons who surgically treat vestibular schwannomas without neuro-otologists currently practice in the South (no other region represented more than 15.4% of this group, p = 0.02). Surgeons who have treated >50 vestibular schwannomas show a trend towards more frequent utilization of an interdisciplinary approach than less experienced surgeons, but this did not reach statistical significance. Conclusions: The majority of neurosurgeons in the United States and Canada surgically resect vestibular schwannomas via an interdisciplinary approach with the participation of a neuro-otologist. Neurosurgeons in the South appear more likely to surgically treat these tumors alone than neurosurgeons in other regions of the U.S. and Canada. (C) 2014 Elsevier B.V. All rights reserved.

引用

页码：143 / 148

页数：6

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