Brazilian Society of Otology task force : Vestibular Schwannoma : evaluation and treatment

• Autor(a) principal: Silva, Vagner Antonio Rodrigues da
• Data de Publicação: 2023
• Outros Autores: Lavinsky, Joel, Pauna, Henrique Furlan, Vianna, Melissa Ferreira, Santos, Vanessa Mazanek, Ikino, Claudio Marcio Yudi, Sampaio, André Luiz Lopes, Lopes, Paula Tardim, Lamounier, Pauliana, Maranhão, André Souza de Albuquerque, Soares, Vítor Yamashiro Rocha, Polanski, José Fernando, Denaro, Mariana Moreira de Castro, Chone, Carlos Takahiro, Bento, Ricardo Ferreira, Castilho, Arthur Menino
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/267257
• topic: Doenças do nervo vestibulococlear; Neuroma acústico; Neurofibromatoses; Otorrinolaringopatias; Otopatias; Transtornos da audição; Perda auditiva; Implantes cocleares; Vestibular schwannoma; Neuroma, acoustic; Hearing loss, sensorineural; Single sided deafness; Radiotherapy; Neurofibromatosis 2; Auditory brain stem implants; Cochlear implant; Surgery

Objective: To review the literature on the diagnosis and treatment of vestibular schwannoma. Methods: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on vestibular schwannoma were eligible for inclusion. The American College of Physicians’ guideline grading system and the American Thyroid Association’s guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. Results: The topics were divided into 2 parts: (1) Diagnosis- audiologic, electrophysiologic tests, and imaging; (2) Treatment- wait and scan protocols, surgery, radiosurgery/radiotherapy, and systemic therapy. Conclusions: Decision making in VS treatment has become more challenging. MRI can diagnose increasingly smaller tumors, which has disastrous consequences for the patients and their families. It is important to develop an individualized approach for each case, which highly depends on the experience of each surgical team.