Journal article
Perioperative Morbidity of Acoustic Neuroma Surgery
Otology & neurotology, Vol.22(6), pp.895-902
11/2001
DOI: 10.1097/00129492-200111000-00031
PMID: 11698815
Abstract
Objective
To review complications that occur during the course of acoustic neuroma surgery.
Study Design
Database and retrospective case review.
Setting
Tertiary referral center, private neurotologic practice.
Patients
A series of 1,687 patients undergoing acoustic neuroma surgery between 1987 and 1997. The 822 male and 865 female patients ranged in age from 10 to 87 years (mean age at time of surgery, 50 yr; standard deviation, 14 yr). The most common surgical approach was translabyrinthine (72.5%), followed by middle fossa (25.7%). The tumors ranged in size from 3 to 7 cm in diameter (mean, 2.0 cm; SD, 1.1 cm).
Main Outcome Measure
Frequency of occurrence of all surgical and medical complications.
Results
The most common complications were cerebrospinal fluid leaks (9.4%; 2.1% requiring reoperation) and meningitis (1.5%). Other surgical complications included cerebral edema, hydrocephalus, pneumocephalus, lower cranial nerve dysfunction, and wound infection. Medical complications in order of frequency included cystitis, sacral root syndrome, anemia, and pneumonia/bronchitis. Complications were related to tumor size and diagnosis of neurofibromatosis type 2.
Conclusions
Perioperative complications will occur with acoustic neuroma surgery, but the overall rate in this large series was low. The authors believe that this supports an aggressive treatment approach for management of acoustic tumors. The findings of this study provide a basis for comparison with other treatment approaches and also are useful for preoperative patient counseling.
Details
- Title: Subtitle
- Perioperative Morbidity of Acoustic Neuroma Surgery
- Creators
- William H Slattery IIISabina FrancisKristi Chang House
- Resource Type
- Journal article
- Publication Details
- Otology & neurotology, Vol.22(6), pp.895-902
- DOI
- 10.1097/00129492-200111000-00031
- PMID
- 11698815
- ISSN
- 1531-7129
- eISSN
- 1537-4505
- Language
- English
- Date published
- 11/2001
- Academic Unit
- Radiation Oncology; Otolaryngology
- Record Identifier
- 9984006319402771
Metrics
32 Record Views