The definitive resource on clinical management of vestibular schwannoma from world renowned expertsAlthough a histologically benign and relatively uncommon tumor, otolaryngologists and neurosurgeons have maintained a lasting and deep-rooted fascination with vestibular schwannoma, also known as acoustic neuroma. Advancements in microsurgical technique, radiosurgery, and radiotherapy, coupled with an increased understanding of the natural history of the disease, have made modern management of this tumor considerably more complex. Concurrently, new controversies have added to the original debates among pioneering surgeons, with the pendulum swinging between conservatism and definitive cure.Comprehensive Management of Vestibular Schwannoma, by distinguished Mayo Clinic clinicians and renowned international contributors, is a comprehensive textbook covering all the clinical aspects of vestibular schwannoma management. Eighty-four chapters written by multidisciplinary experts including otolaryngologists, neurosurgeons, radiation oncologists, neurologists, neuroradiologists, and audiologists, ensure a balanced view of all treatment modalities for sporadic and neurofibromatosis type 2-associated vestibular schwannoma.Key FeaturesEvaluation, surgical and nonsurgical approaches, rehabilitation, controversies, and long-term clinical outcomesDetailed illustrations by Robert Morreale, senior medical illustrator at the Mayo Clinic, highlight relevant anatomy and surgical approachesChapter summary tables provide readers with a rapid clinical reference derived from the published world literatureThe chapter "Anatomy of Vestibular Schwannoma Surgery" by the late internationally renowned neurosurgeon Albert L. Rhoton Jr. reflects his major contributions on this subjectWith inclusion of fundamental principles to advanced concepts, this is a robust resource for residents, fellows, and early attending physicians, as well as mid- to later-career physicians who care for patients with vestibular schwannoma.This book includes complimentary access to a digital copy on https://medone.thieme.com.

Part I Background1 History of Vestibular Schwannoma Surgery2 Historical Development of Radiation Modalities for Vestibular Schwannoma3 Epidemiology of Vestibular Schwannoma4 Histopathology of Vestibular Schwannoma5 Molecular Biology of Sporadic and NF2-Associated Vestibular SchwannomaPart II Disease Presentation and Diagnostic Evaluation6 Disease Presentation of Sporadic Vestibular Schwannoma7 Auditory and Vestibular Testing Relevant to Vestibular Schwannoma8 Diagnostic Imaging of Sporadic Vestibular Schwannoma and Other CPA Lesions9 Emerging Imaging Techniques in Vestibular Schwannoma10 MRI Safety and Imaging Quality in Patients with Cochlear Implants or Auditory Brainstem Implants with Retained Internal MagnetsPart III Management: Overview11 Current Trends in Vestibular Schwannoma Management12 Multidisciplinary Care of the Vestibular Schwannoma Patient: Building a Skull Base Team13 Patient Counseling Following Diagnosis of Sporadic Vestibular SchwannomaPart IV Management: Conservative Observation14 Natural History of Tumor Growth in Sporadic Vestibular SchwannomaPart V Management: Radiation15 Principles of Radiobiology Relevant to Radiosurgery and Radiotherapy of Sporadic Vestibular Schwannoma16 Gamma Knife Radiosurgery for Treatment of Sporadic Vestibular Schwannoma17 Linear Accelerator Radiosurgery for Treatment of Vestibular Schwannoma (Non-CyberKnife)18 Conventional Fractionation LINAC-Based Stereotactic Radiotherapy for Treatment of Sporadic Vestibular Schwannoma19 CyberKnife Radiotherapy for Treatment of Sporadic Vestibular Schwannoma20 Proton Beam Radiotherapy for Treatment of Sporadic Vestibular Schwannoma21 Secondary Radiation Treatment of Vestibular Schwannoma After Prior Microsurgery or Radiosurgery22 Radiation Therapy and Stereotactic Radiosurgery for Large Vestibular Schwannoma23 Complications of Radiosurgery and Fractionated Radiotherapy for Vestibular Schwannoma24 Risk of Radiation Associated Tumorigenesis in the Treatment of Vestibular Schwannoma25 Imaging Follow-Up After Radiosurgery of Vestibular SchwannomaPart VI Management: Microsurgery26 General Anesthesia in Vestibular Schwannoma Surgery27 Intraoperative Facial Nerve Monitoring During Vestibular Schwannoma Microsurgery28 Intraoperative Eighth Nerve Monitoring During Vestibular Schwannoma Microsurgery29 Training in Vestibular Schwannoma Microsurgery30 Anatomy of Vestibular Schwannoma Surgery31 Surgical Approach Selection for Vestibular Schwannoma Microsurgery32 Management of the Facial Nerve During Vestibular Schwannoma Microsurgery33 Translabyrinthine Approach for Vestibular Schwannoma Resection34 Surgical Refinements to the Translabyrinthine Approach to the Cerebellopontine Angle35 Retrosigmoid Approach for Medium to Large Vestibular Schwannoma36 Retrosigmoid Approach for Hearing Preservation Vestibular Schwannoma Microsurgery37 Middle Cranial Fossa Approach for Hearing Preservation Vestibular Schwannoma Microsurgery38 Transotic Approach for Vestibular Schwannoma Resection39 Transcanal Transpromontorial Endoscopic Approach for Vestibular Schwannoma Resection40 Endoscopic Vestibular Schwannoma and Lateral Skull Base Surgery41 Subtotal Resection of Sporadic Vestibular Schwannoma42 Staged Resection of Large Vestibular Schwannoma43 Microsurgery for Recurrent and Residual Vestibular Schwannoma44 Salvage Microsurgery After Radiation Treatment of Vestibular Schwannoma45 Avoidance and Management of Vascular Complications During Vestibular Schwannoma Surgery46 Perioperative Management of Hydrocephalus47 Postoperative Cerebrospinal Fluid Leak, Pseudomeningocele, and Meningitis: Risks, Avoidance, and Treatment48 Postoperative Counseling, Restrictions, and Care49 Postoperative Imaging Surveillance Following Vestibular Schwannoma ResectionPart VII Treatment Outcomes50 Reporting of Hearing Outcome Data for Vestibular Schwannoma51 Natural History of Hearing and Vestibular Function in Untreated Sporadic Vestibular Schwannoma52 Hearing and Vestibular Function Loss After Radiation Treatment of Sporadic Vestibular Schwannoma53 Results of Hearing Preservation Microsurgery for Sporadic Vestibular Schwannoma54 Reporting of Facial Nerve Outcome Data for Vestibular Schwannoma55 Facial Nerve Injury in Sporadic Vestibular Schwannoma: Mechanisms, Predictors, and Outcomes56 Patient Self-Assessment of Symptom Disability and Handicap in Vestibular Schwannoma57 Tinnitus in Sporadic Vestibular Schwannoma58 Dizziness in Sporadic Vestibular Schwannoma59 Epidemiology and Pathogenesis of Headache in Patients with Vestibular Schwannoma60 Quality-of-Life Outcomes in Sporadic Vestibular SchwannomaPart VIII Medical and Surgical Rehabilitation61 Auditory Rehabilitation in Sporadic Vestibular Schwannoma62 Nonoperative Facial Rehabilitation in Vestibular Schwannoma: Facial Neuromuscular Retraining63 Medical and Surgical Care of the Eye in Facial Paralysis64 Interposition Cable Nerve Graft of the Facial Nerve After Resection of Vestibular Schwannoma65 Hypoglossal-to-Facial Nerve Transfer with Parotid Release for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma66 V3 Masseteric Branch Reinnervation for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma67 Gracilis Free Flap Rehabilitation of the Paralyzed Face in Vestibular Schwannoma68 Static Procedures for Rehabilitation of the Paralyzed Face in Vestibular Schwannoma69 Vestibular Rehabilitation and "PreHab" in Sporadic Vestibular Schwannoma70 Management of Pre- and Posttreatment Trigeminal Neuralgia in Vestibular Schwannoma71 Postoperative Headache: Clinical Evaluation and Treatment in Patients Undergoing Surgery for Vestibular Schwannoma72 The Acoustic Neuroma Association and Social Aspects of Support Group Care for Patients with Vestibular SchwannomaPart IX Controversial or Challenging Aspects of Care73 Management of Small Vestibular Schwannoma in Patients with Minimal Symptoms74 What Is the Best Treatment for Small to Medium-Sized Vestibular Schwannoma?75 Management of Sporadic Vestibular Schwannoma in the Only Hearing Ear76 Treatment of Cystic Vestibular Schwannoma77 Primary Inner Ear (Intralabyrinthine) SchwannomasPart X Neurofibromatosis Type 278 Genetics of Neurofibromatosis Type 279 Diagnosis and Evaluation of Neurofibromatosis Type 280 Natural History of Vestibular Schwannoma Growth and Hearing in Neurofibromatosis Type 281 Microsurgery for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma82 Radiosurgery and Radiotherapy for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma83 Medical Therapy for Neurofibromatosis Type 2 Focusing on Vestibular Schwannoma84 Auditory Rehabilitation in Neurofibromatosis Type 2