Pisani Davide, Gioacchini Federico Maria, Chiarella Giuseppe, Astorina Alessia, Ricciardiello Filippo, Scarpa Alfonso, Re Massimo, Viola Pasquale
Unit of Audiology, Regional Centre of Cochlear Implants and ENT Diseases, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy.
Ear, Nose, and Throat Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, Via Conca 71, 60020 Ancona, Italy.
Audiol Res. 2023 Apr 13;13(2):285-303. doi: 10.3390/audiolres13020025.
Vestibular Schwannoma is the most common tumour of Ponto Cerebellar Angle and is capable of strongly impacting the patient's quality of life. In recent decades, the proposals for the management of the disease have multiplied, just as the diagnostic capacity has improved. While in the past, the primary objective was the preservation of the facial function, and subsequently also of the auditory function, the attention to the vestibular symptomatology, which appears to be one of the main indicators of deterioration of quality of life, is still unsatisfactory. Many authors have tried to provide guidance on the best possible management strategy, but a universally recognized guideline is still lacking. This article offers an overview of the disease and the proposals which have advanced in the last twenty years, evaluating their qualities and defects in a critical reading.
前庭神经鞘瘤是桥小脑角最常见的肿瘤，能够严重影响患者的生活质量。近几十年来，随着诊断能力的提高，针对该疾病的治疗方案也成倍增加。过去，主要目标是保留面神经功能，随后也注重保留听觉功能，但对于作为生活质量恶化主要指标之一的前庭症状的关注仍不尽人意。许多作者试图就最佳治疗策略提供指导，但仍缺乏普遍认可的指南。本文概述了该疾病以及过去二十年来提出的治疗方案，并通过批判性阅读评估它们的优缺点。
