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Acoustic Neuroma
Dr Sriharsha from Hyd,
The surgery is planned on Dec 23
The size of tumour is 1.8 cm
Please let me know the best approach. Will there be any side effects after the surgery. Do we need to go for it ?
Answers (3)
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Hi Dr Sri Harsha. Gud to hear from you.
Vestibular schwannoma - best treatment option would be surgical excision, rather than opting for stereotactic radiosurgery. The later option is for solid tumours & where the patient is not fit for surgery.
coming to best approach - if hearing is compromised already - go for translabrinthine approach. if hearing is servicable, then go for retrosigmoid approach - but not for tumours going towards IAC from CP angle. Middle cranial fossa may not be suitable...
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Age not mentioned. extreme age - more complication
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Approach depends on the hearing status of the patient
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Dr. Gladson Guddappa Uchil
ENT/ Otorhinolaryngologist
29 yrs exp
Bangalore
Suggest you go for Stereotactic Surgery wherein the tumour is bombarded with precise pulses of radiation from all directions. This ensures that only the target tissue receives very high radiation while surrounding tissues receive negligible radiation. Since the process is non-invasive, it is much safer with rapid recivery. However, it is quite expensive and very few centers are equipped with this technology.
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I suggest you come down to HCG Hospitals, Bangalore and meet the Radiation Oncologists here before giving the go ahead for conventional surgery.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.