Management of Complications in Vestibular Schwannoma Surgery.
Cerebrospinal fluid leak
Complications
Facial nerve paralysis
Meningitis
Vestibular schwannoma
Journal
Otolaryngologic clinics of North America
ISSN: 1557-8259
Titre abrégé: Otolaryngol Clin North Am
Pays: United States
ID NLM: 0144042
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
medline:
2
5
2023
pubmed:
25
3
2023
entrez:
24
3
2023
Statut:
ppublish
Résumé
Microsurgical removal of acoustic neuroma has advanced tremendously; however, complications still occur. Facial nerve injury is the most common detrimental complication and should take precedence over gross tumor removal in cases where there is an unfavorable tumor-facial nerve interface. Cerebrospinal fluid leakage can occur even with meticulous closure techniques and is generally treatable with either lumbar-subarachnoid drainage or revision wound closure. Meningitis is a serious complication that requires a high index of suspicion in the postoperative period. Other less common complications include intraoperative and postoperative vascular injuries. Early identification and treatment can prevent devastating outcomes.
Identifiants
pubmed: 36964095
pii: S0030-6665(23)00037-3
doi: 10.1016/j.otc.2023.02.015
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
567-576Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.