Post-operative complications after removal of sporadic vestibular schwannoma via retrosigmoid-suboccipital approach: current diagnosis and management
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Stylianos Charalampakis Dimitrios Koutsimpelas Haralampos Gouveris Wolf Mann
- چاپ و سال / کشور: 2011
Description
The retrosigmoid (suboccipital) approach is one of four surgical approaches for the treatment of vestibular schwannomas (acoustic neuromas). It is increasingly used by otologic surgeons, and in experienced hands is associated with improved results and more limited complications. Mortality rates are minimal and often zero, while postoperative sequelae, on the other hand, are not rare. In order to not only save the patient’s life, but also to assure good quality of life after the surgery, one must consider many different aspects of management of the respective complications. In this review the issues of current management of CSF leak and meningitis, facial paresis, headache, hearing loss, unsteadiness, disequilibrium, vertigo, tinnitus, cerebellar and brain stem injuries or abscess, vascular complications and venous air embolism after retrosigmoid approach for removal of vestibular schwannomas are presented
Eur Arch Otorhinolaryngol (2011) 268:653–660, Received: 14 September 2010 / Accepted: 23 December 2010 / Published online: 11 January 2011 Springer-Verlag 2011
