Abstract

Background: Vestibular schwannomas (VS) are benign, slow-growing tumors located in the cerebellopontine angle (CPA), or internal auditory canal (IAC). Options for management of VS include observation with serial imaging, radiation, and microsurgical resection via middle cranial fossa, translabyrinthine, and retrosigmoid approaches. The translabyrinthine approach is most suitable for resection of large tumors in which hearing may have already been compromised or preservation is not a concern. In older patients with vestibular schwannoma, and poor functional mobility, age can often have a significant impact on the decision to proceed with observation, radiation, or microsurgical resection. When considering surgical resection vs radiation, fear of worsened disability can dictate patient decision making, particularly in the geriatric population. It is important to consider the most accurate and up to date treatment outcomes to best determine the most appropriate treatment option.

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