Vestibular Schwannoma surgery or facial nerve preservation surgery?

Detalhes bibliográficos
Autor(a) principal: Neto d'Almeida, Gonçalo
Data de Publicação: 2015
Outros Autores: Marques, Luis, Gonçalves Pereira, Pedro, Escada, Pedro Alberto
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
DOI: 10.34631/sporl.596
Texto Completo: https://doi.org/10.34631/sporl.596
Resumo: The authors review the evolution of the surgical strategy regarding vestibular nerve schwannomas. The classic neurosurgical goal aims to remove the tumor completely. Presently, we believe this approach has changed significantly. Both the preservation of the facial nerve and tumor resection are the main objectives of the surgery. In this review, we place a special emphasis to the management of large tumors (grade 3 and 4 of Koos Scale) and the quality of life of patients after the surgery.We describe an innovative imaging technique used in Portugal, which is performed at the Lusíadas Hospital, in Lisbon. All the patients treated at the Skull Base and Neurorhinology Department of the Hospital de Egas Moniz (Lisbon) are pre-surgically evaluated by MRI and Diffusion Tensor Imaging. Diffusion Tensor Imaging allows to determine the location of the facial nerve by means of Tractography. Cranial nerve Tractography contribute to successful skull base otoneurosurgeries, particularly by lowering the risk of nerve injury during cerebellopontine angle surgeries and reducing the time spent to locate fiber bundles intra-operatively.
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spelling Vestibular Schwannoma surgery or facial nerve preservation surgery?Cirurgia de Schwannoma do nervo vestibular ou cirurgia de preservação do nervo facial?Vestibular SchwannomaFacial NerveFacial Nerve TractographySchwannoma VestibularNervo FacialTratografia do Nervo FacialThe authors review the evolution of the surgical strategy regarding vestibular nerve schwannomas. The classic neurosurgical goal aims to remove the tumor completely. Presently, we believe this approach has changed significantly. Both the preservation of the facial nerve and tumor resection are the main objectives of the surgery. In this review, we place a special emphasis to the management of large tumors (grade 3 and 4 of Koos Scale) and the quality of life of patients after the surgery.We describe an innovative imaging technique used in Portugal, which is performed at the Lusíadas Hospital, in Lisbon. All the patients treated at the Skull Base and Neurorhinology Department of the Hospital de Egas Moniz (Lisbon) are pre-surgically evaluated by MRI and Diffusion Tensor Imaging. Diffusion Tensor Imaging allows to determine the location of the facial nerve by means of Tractography. Cranial nerve Tractography contribute to successful skull base otoneurosurgeries, particularly by lowering the risk of nerve injury during cerebellopontine angle surgeries and reducing the time spent to locate fiber bundles intra-operatively.Os autores revêm a evolução da estratégia cirúrgica referente ao schwannoma do nervo vestibular. Se, no passado, a exérese total do tumor era o objectivo principal da cirurgia, no presente esta abordagem mudou de modo significativo. A preservação do nervo facial constitui um dos principais objectivos da cirurgia, assim como a exérese do tumor. É dado especial ênfase ao tratamento dos tumores de grandes dimensões (grau 3 e 4 da Escala de Koos) e sua relação com a qualidade de vida do doente no pós operatório.É descrita uma técnica de imagem inovadora em Portugal realizada no Hospital Lusíadas, em Lisboa, utilizada pela Unidade Funcional de Cirurgia da Base do Crânio e Neurorrinologia do Hospital de Egas Moniz, em Lisboa: a Tratografia do nervo facial por Difusão de Imagem, por Ressonância Magnética. Esta técnica permite conhecer, no pré operatório, o trajecto do nervo facial no seu segmento cisternal e sua relação anatómica com o tumor localizado ao ângulo ponto-cerebeloso.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2015-12-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.596https://doi.org/10.34631/sporl.596Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 53 No. 3 (2015): Setembro; 173-176Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 53 Núm. 3 (2015): Setembro; 173-176Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 53 N.º 3 (2015): Setembro; 173-1762184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2761https://journalsporl.com/index.php/sporl/article/view/2761/763Neto d'Almeida, GonçaloMarques, LuisGonçalves Pereira, PedroEscada, Pedro Albertoinfo:eu-repo/semantics/openAccess2024-06-06T13:00:12Zoai:journalsporl.com:article/2761Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T13:00:12Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Vestibular Schwannoma surgery or facial nerve preservation surgery?
Cirurgia de Schwannoma do nervo vestibular ou cirurgia de preservação do nervo facial?
title Vestibular Schwannoma surgery or facial nerve preservation surgery?
spellingShingle Vestibular Schwannoma surgery or facial nerve preservation surgery?
Vestibular Schwannoma surgery or facial nerve preservation surgery?
Neto d'Almeida, Gonçalo
Vestibular Schwannoma
Facial Nerve
Facial Nerve Tractography
Schwannoma Vestibular
Nervo Facial
Tratografia do Nervo Facial
Neto d'Almeida, Gonçalo
Vestibular Schwannoma
Facial Nerve
Facial Nerve Tractography
Schwannoma Vestibular
Nervo Facial
Tratografia do Nervo Facial
title_short Vestibular Schwannoma surgery or facial nerve preservation surgery?
title_full Vestibular Schwannoma surgery or facial nerve preservation surgery?
title_fullStr Vestibular Schwannoma surgery or facial nerve preservation surgery?
Vestibular Schwannoma surgery or facial nerve preservation surgery?
title_full_unstemmed Vestibular Schwannoma surgery or facial nerve preservation surgery?
Vestibular Schwannoma surgery or facial nerve preservation surgery?
title_sort Vestibular Schwannoma surgery or facial nerve preservation surgery?
author Neto d'Almeida, Gonçalo
author_facet Neto d'Almeida, Gonçalo
Neto d'Almeida, Gonçalo
Marques, Luis
Gonçalves Pereira, Pedro
Escada, Pedro Alberto
Marques, Luis
Gonçalves Pereira, Pedro
Escada, Pedro Alberto
author_role author
author2 Marques, Luis
Gonçalves Pereira, Pedro
Escada, Pedro Alberto
author2_role author
author
author
dc.contributor.author.fl_str_mv Neto d'Almeida, Gonçalo
Marques, Luis
Gonçalves Pereira, Pedro
Escada, Pedro Alberto
dc.subject.por.fl_str_mv Vestibular Schwannoma
Facial Nerve
Facial Nerve Tractography
Schwannoma Vestibular
Nervo Facial
Tratografia do Nervo Facial
topic Vestibular Schwannoma
Facial Nerve
Facial Nerve Tractography
Schwannoma Vestibular
Nervo Facial
Tratografia do Nervo Facial
description The authors review the evolution of the surgical strategy regarding vestibular nerve schwannomas. The classic neurosurgical goal aims to remove the tumor completely. Presently, we believe this approach has changed significantly. Both the preservation of the facial nerve and tumor resection are the main objectives of the surgery. In this review, we place a special emphasis to the management of large tumors (grade 3 and 4 of Koos Scale) and the quality of life of patients after the surgery.We describe an innovative imaging technique used in Portugal, which is performed at the Lusíadas Hospital, in Lisbon. All the patients treated at the Skull Base and Neurorhinology Department of the Hospital de Egas Moniz (Lisbon) are pre-surgically evaluated by MRI and Diffusion Tensor Imaging. Diffusion Tensor Imaging allows to determine the location of the facial nerve by means of Tractography. Cranial nerve Tractography contribute to successful skull base otoneurosurgeries, particularly by lowering the risk of nerve injury during cerebellopontine angle surgeries and reducing the time spent to locate fiber bundles intra-operatively.
publishDate 2015
dc.date.none.fl_str_mv 2015-12-11
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.596
https://doi.org/10.34631/sporl.596
url https://doi.org/10.34631/sporl.596
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2761
https://journalsporl.com/index.php/sporl/article/view/2761/763
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 53 No. 3 (2015): Setembro; 173-176
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 53 Núm. 3 (2015): Setembro; 173-176
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 53 N.º 3 (2015): Setembro; 173-176
2184-6499
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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dc.identifier.doi.none.fl_str_mv 10.34631/sporl.596