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20건 · 최신순-
Congress of Neurological Surgeons Systematic Review and Evidence-Based Guideline on Hearing Preservation Outcomes in Patients With Sporadic Vestibular Schwannoma: Update.
[BACKGROUND] Given the increasing prevalence and shifting disease demographic of vestibular schwannoma toward smaller tumors in people with less advanced symptoms, increasing emphasis has been placed on functional hearing preservation. [OB…
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Nonconventional Imaging Modalities for Vestibular Schwannoma Prognosis: A Scoping Review.
[OBJECTIVE] To explore the existing evidence on novel imaging modalities that may aid in prognostication of vestibular schwannoma (VS) clinical outcomes across various management approaches. [STUDY DESIGN] Scoping review. [SETTING] Not ap…
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Leveling the Playing Field in Vestibular Schwannoma Outcome Reporting: A Survey of Variance and Bias in Published Research.
[OBJECTIVE] To survey critical areas of variation in published research methodology with a primary aim of highlighting fundamental aspects that contribute to ongoing controversy surrounding optimal management of patients with sporadic vesti…
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Defining clinically significant tumor size in sporadic vestibular schwannoma to inform timing of radiosurgery during wait-and-scan management: further evidence supporting size threshold surveillance.
[OBJECTIVE] Wait-and-scan surveillance is now commonly employed for initial management of small- and medium-sized vestibular schwannomas. Although small differences in tumor size are unlikely to impact outcomes significantly, treatment with…
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Salvage Microsurgery After Failed Bevacizumab Treatment for NF2-Related Schwannomatosis Vestibular Schwannoma: A Multicentric Retrospective Study.
[BACKGROUND AND OBJECTIVES] Surgery in NF2-related schwannomatosis (NF2-SWN) vestibular schwannoma (VS) carries a higher risk of facial nerve damage, hearing loss, and partial resection, than in sporadic cases. Radiosurgery is also associat…
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Cochlear Implantation With Sporadic Inner Ear Schwannomas: Outcomes in 106 Patients From an International Multi-Institutional Study.
[OBJECTIVE] To evaluate cochlear implant speech perception among patients with sporadic inner ear schwannoma who underwent ipsilateral implantation. [STUDY DESIGN] Retrospective multi-institutional cohort study. [SETTING] Eleven tertiary …
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Optimal Timing of Primary Radiosurgical Treatment of Growing Vestibular Schwannoma: Insights From Salvage Microsurgery Outcomes.
[OBJECTIVE] Limited evidence guides the optimal timing of treatment after the detection of tumor growth during the observation of sporadic vestibular schwannoma (VS). The current work aimed to inform the timing of radiosurgical intervention…
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Salvage Microsurgery Following Failed Primary Radiosurgery in Sporadic Vestibular Schwannoma.
[IMPORTANCE] Management of sporadic vestibular schwannoma with radiosurgery is becoming increasingly common globally; however, limited data currently characterize patient outcomes in the setting of microsurgical salvage for radiosurgical fa…
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Repeat Radiosurgery for Sporadic Vestibular Schwannoma After Primary Radiosurgical Failure: An International Multi-institutional Investigation.
[OBJECTIVE] To describe outcomes of patients with sporadic vestibular schwannoma (VS) who underwent repeat stereotactic radiosurgery (SRS) after primary SRS failure. [STUDY DESIGN] Multi-institutional historical cohort study. [SETTING] Fi…
- Assessing Facial Nerve Function After Salvage Microsurgery for Vestibular Schwannoma-Reply.
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Comparing Cochlear Implant Outcomes in 100 Patients With Sporadic Vestibular Schwannoma Managed With Observation, Radiosurgery, or Microsurgery: A Multi-Institutional Review.
[OBJECTIVE] To compare cochlear implant (CI) speech perception outcomes in patients with sporadic vestibular schwannoma (VS) managed with observation, radiosurgery, or microsurgery. [STUDY DESIGN] Retrospective review. [SETTING] Eleven te…
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Quality of Life in Sporadic Vestibular Schwannoma.
The focus of management in sporadic vestibular schwannoma has dramatically evolved over the last 100 years. The centrality of quality of life (QoL) is being underscored by an ongoing epidemiologic shift toward an older patient demographic t…
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Defining clinically significant tumor size in vestibular schwannoma to inform timing of microsurgery during wait-and-scan management: moving beyond minimum detectable growth.
[OBJECTIVE] Detection of vestibular schwannoma (VS) growth during observation leads to definitive treatment at most centers globally. Although ≥ 2 mm represents an established benchmark of tumor growth on serial MRI studies, 2 mm of linear …
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Hearing Preservation in Observed Sporadic Vestibular Schwannoma: A Systematic Review.
[OBJECTIVE] To characterize the natural history of hearing loss for patients presenting with serviceable hearing (SH) who undergo a wait-and-scan approach for sporadic vestibular schwannoma (VS) using aggregate time-to-event survival analys…
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Evolution in Management Trends of Sporadic Vestibular Schwannoma in the United States Over the Last Half-century.
[OBJECTIVE] Limited data currently characterize management trends of sporadic vestibular schwannoma (VS) in the United States over recent decades. Serving as the primary patient support organization in the United States, the Acoustic Neurom…
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Underreporting of Vestibular Schwannoma Incidence Within National Brain Tumor and Cancer Registries in the United States.
[OBJECTIVE] Reports using large brain tumor and cancer registries suggest that the incidence of vestibular schwannoma is considerably lower in the United States compared with other countries. The current study compares the incidence and dis…
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Cost and clinical outcomes of postoperative intensive care unit versus general floor management in head and neck free flap reconstructive surgery patients.
[PURPOSE] To compare clinical, surgical, and cost outcomes in patients undergoing head and neck free-flap reconstructive surgery in the setting of postoperative intensive care unit (ICU) against general floor management. [METHODS] Retrospe…
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Lifetime Cost and Quality-Adjusted Life-Years Across Management Options for Small- and Medium-Sized Sporadic Vestibular Schwannoma.
[OBJECTIVE] Despite the growing emphasis on healthcare costs, limited data address this aspect of care within the vestibular schwannoma (VS) literature. We sought to determine which strategy confers the lowest lifetime cost and greatest qua…
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Age Is Associated With Pain Experience and Opioid Use After Head and Neck Free Flap Reconstruction.
[OBJECTIVES] To describe pain experience and opioid use after major head and neck reconstructive surgery. [STUDY DESIGN] Retrospective cohort study. [METHODS] Patients undergoing major head and neck surgery with microvascular free tissue …
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Regional variation in vestibular schwannoma management and patient support group participation across the United States.
[PURPOSE] The Acoustic Neuroma Association (ANA) represents the largest existing patient support organization for those diagnosed with vestibular schwannoma (VS) in the United States. Yet, the degree to which the ANA is actually utilized ac…