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Article Dans Une Revue Neurosurgery Année : 2005

Long-term control of vestibular schwannoma after a translabyrinthine complete removal

Résumé

The goal of this study was to determine the rate of recurrent vestibular schwannoma after a total removal via the translabyrinthine approach. PATIENTS: Between 1973 and 1995, 346 patients were operated on by a translabyrinthine approach. Ninety-one patients were included in a retrospective study for follow-up of 5 years or longer. RESULTS: The mean follow-up period for magnetic resonance imaging (MRI) examination was obtained after mean of 11 years in 91 patients. None of the 91 patients experienced a recurrent vestibular schwannoma on MRI. CONCLUSION: The translabyrinthine approach is a safe procedure for total definitive removal of a vestibular schwannoma and permitted the absence of tumoral recurrence in our series of 91 patients. A single gadolinium-enhanced MRI scan 5 years after surgery is advised in case of total removal. In case of any doubt about the quality of the tumoral removal, a proposed MRI follow-up schedule within 2 years and 5 years of surgery is an initial baseline pattern, and possibly thereafter repeated MRI examinations on clinical grounds.

Domaines

Autre [q-bio.OT]
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Dates et versions

hal-00013386 , version 1 (08-11-2005)

Identifiants

  • HAL Id : hal-00013386 , version 1

Citer

S. Schmerber, Olivier Palombi, K. Boubagra, R. Charachon, J.-P. Chirossel, et al.. Long-term control of vestibular schwannoma after a translabyrinthine complete removal. Neurosurgery, 2005, Oct; 57(4), pp.693-8; discussion 693-8. ⟨hal-00013386⟩
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