| Perioperative complications after translabyrinthine removal of large or giant vestibular schwannoma: Outcomes for 123 patients. | |
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MedLine Citation:
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PMID: 20443757 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONCLUSION: Large vestibular schwannomas are benign but dangerous tumors. The translabyrinthine approach allows the surgeon to limit vital and functional complications due to the disease itself or to its surgical removal. OBJECTIVE: Morbi-mortality study focused on large vestibular schwannoma surgically treated by translabyrinthine removal. METHODS: This was a retrospective review of prospectively collected data in a series of 123 patients who underwent translabyrinthine removal of a large vestibular schwannoma (>4 cm in the cerebellopontine angle, stage IV). All surgical and medical complications and facial function were reviewed, with a 1-year follow-up. RESULTS: Mortality during the first year was 0.8% (one case of infarct of the anterior inferior cerebellar artery, fatal after 8 months). In all, 4.9% of patients underwent a second surgery (for delayed hemorrhage or cerebrospinal fluid leak) during the first months after removal of a large vestibular schwannoma; 3.2% of patients experienced definitive neurologic complications (one death, one cerebellar disturbance, and two cases of 10th cranial nerve palsy). |
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Authors:
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Anne Charpiot; Stéphane Tringali; Sandra Zaouche; Chantal Ferber-Viart; Christian Dubreuil |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta oto-laryngologica Volume: 130 ISSN: 1651-2251 ISO Abbreviation: Acta Otolaryngol. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-14 Completed Date: 2011-01-27 Revised Date: 2011-11-08 |
Medline Journal Info:
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Nlm Unique ID: 0370354 Medline TA: Acta Otolaryngol Country: England |
Other Details:
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Languages: eng Pagination: 1249-55 Citation Subset: IM |
Affiliation:
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Département d'Otologie et d'Otoneurochirurgie, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre-Bénite, France. anne.charpiot@chru-strasbourg.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aphasia / etiology Brain Stem / pathology Cerebrospinal Fluid Rhinorrhea / etiology Ear, Inner / surgery* Edema / etiology Electromyography Epilepsy / etiology Facial Nerve / physiopathology Female Follow-Up Studies Hematoma, Subdural / etiology, surgery Humans Magnetic Resonance Imaging Male Meningitis / etiology Middle Aged Neoplasm Staging Nervous System Diseases / etiology Neuroma, Acoustic / pathology, surgery* Otologic Surgical Procedures / adverse effects*, mortality* Retrospective Studies Survival Rate Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Acta Otolaryngol. 2011 Nov;131(11):1237-8
[PMID:
21728749
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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