Somers T, Van Havenbergh T
Department of ENT, Sint-Augustinus Hospital, Wilrijk, Antwerp, Belgium.
B-ENT. 2012;8(4):235-40.
The preferred setting for the treatment for vestibular schwannoma these days is multidisciplinary and multimodal. A balance has to be struck between a wait-and-scan attitude and a more active approach (surgery or radiotherapy). An initial wait-and-scan attitude is a reasonable management option because many tumours do not grow during a prolonged period of observation. The different surgical approaches may or may not involve attempts to preserve hearing. Stereotactic radiotherapy as treatment of choice is often considered in the elderly patient presenting with a vestibular schwannoma smaller than 2.5 cm with documented growth. This paper will review current treatment modalities and the respective pros and cons. A decisional algorithm as currently adopted by our skull base team is presented at the end of the paper.
如今，前庭神经鞘瘤的首选治疗方式是多学科、多模式的。必须在等待观察和更积极的治疗方法（手术或放疗）之间找到平衡。最初采取等待观察的态度是一种合理的管理选择，因为许多肿瘤在长时间观察期间不会生长。不同的手术方法可能会或不会尝试保留听力。对于患有小于2.5厘米且有生长记录的前庭神经鞘瘤的老年患者，通常会考虑将立体定向放射治疗作为首选治疗方法。本文将回顾当前的治疗方式及其各自的优缺点。本文末尾展示了我们颅底团队目前采用的决策算法。
