Abstract:
CONCLUSION:Surgery remains the preferred option for large vestibular schwannoma (VS). The presence of unpredictable intraoperative difficulties may convince the operator to suspend the surgery to avoid risks to patient life. Additional surgeries may be mandatory and are better performed using a transcochlear approach. High rates of complications, poor facial nerve results, and a percentage of incomplete removals should be expected in such unfavorable cases. OBJECTIVES:To review the results for nine cases of huge VS treated by staged resection. METHOD:A retrospective case review was performed for all nine patients who underwent staged resection of VS at the Gruppo Otologico between 1984-2012. The decision to perform staged surgery was always made intra-operatively after encountering unpredicted difficulties. RESULTS:The nine patients represented 0.3% of all patients who underwent VS surgery during the same period. Mean tumor size was 4.7 cm (range = 3.0-6.6 cm). Two cases required three surgeries, resulting in a total of 20 operations. In addition, two cases required pre-operative ventriculoperitoneal shunt and one required temporary tracheotomy. After the final stage of surgery, complete removal had been achieved in six of the nine patients. The facial nerve was never preserved anatomically.
journal_name
Acta Otolaryngoljournal_title
Acta oto-laryngologicaauthors
Kunimoto Y,Lauda L,Falcioni M,Taibah A,Hasegawa K,Sanna Mdoi
10.3109/00016489.2015.1040170subject
Has Abstractpub_date
2015-09-01 00:00:00pages
895-900issue
9eissn
0001-6489issn
1651-2251journal_volume
135pub_type
杂志文章abstract:CONCLUSION:The present study demonstrated the robustness of VEMP testing with toneburst stimuli, since it is hardly affected by head position, i.e. base or tonic excitation levels of the saccule and inferior vestibular nerve. However, the small but highly significant difference found in latency should not be neglected:...
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doi:10.1080/00016480600740597
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abstract:BACKGROUND:The graviceptive otolith function can be measured using subjective visual horizontal (SVH) testing. Nevertheless, more research efforts are required to understand the essential variables affecting SVH. OBJECTIVE:The aim of the present study was to determine the effects of type of visual image and gender on ...
journal_title:Acta oto-laryngologica
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abstract::Volumetric changes of the scala media were histologically investigated in normal guinea pigs to see whether glycerol-induced volumetric change of the scala media followed a biphasic course similar to the auditory threshold in the glycerol test. Glycerol was administered orally in a 12 ml/kg dose. The volume of the sca...
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doi:10.1080/00016489950181369
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abstract:BACKGROUND:Although endoscopic endonasal approach (EEA) for skull base tumors showed a good prognosis in sinonasal quality of life (QOL), what factors have influence on QOL is still in question. Aim/Objectives: To investigate the recovery of sinonasal QOL after EEA for anterior skull base tumors and find its prognostic...
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pub_type: 杂志文章
doi:10.1080/00016489.2019.1574982
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abstract:CONCLUSION:Lactobacillus rhamnosus GG (L.GG) was present in all adenoids of children receiving the L. GG product. However, since L.GG was also found from the placebo group, one cannot confirm its effect on the occurrence of rhinovirus (RV) or enterovirus (EV). OBJECTIVES:The present study was conducted to determine wh...
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更新日期:2015-08-01 00:00:00
abstract:CONCLUSION:Systemic application of human mesenchymal stem cells (hMSCs) may be another effective tool for stem cell supply to the inner ear. OBJECTIVES:Most researchers have used local application to provide the inner ear with stem cells. In spite of their efficacy, these methods can potentially cause irreversible dam...
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更新日期:2009-01-01 00:00:00
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更新日期:2013-10-01 00:00:00
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更新日期:1999-01-01 00:00:00
abstract:CONCLUSIONS:Intratympanic steroid (ITS) treatment groups exhibited better outcomes in PTA improvement and recovery rate than systemic steroid therapy (SST) groups. Whether initial hearing loss severity would influence the PTA improvement and recovery rate still requires further research. OBJECTIVE:This article was aim...
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pub_type: 杂志文章,meta分析
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更新日期:2017-06-01 00:00:00
abstract:CONCLUSIONS:This study showed that macrophages, B cells, and T cells occurred at different frequencies, localizations, and times after acute laser tympanic membrane perforation. Immunological cells were most prevalent in the proliferative mass adjacent to the annulus region. The cellular immunological response in fresh...
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abstract::Retropharyngeal haematomas (RPHs) are rare but potentially life-threatening conditions that require a prompt diagnosis. However, the clinical scenario is not always straightforward as their presentation may be insidious, with no specific signs or symptoms. Treatment of RPH is conservative in the majority of cases, wit...
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doi:10.1080/00016480410017233
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abstract::Background: The treatments of horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) have low remission rates ranging between 60% and 90%, connected to the difficulty in correctly identifying the affected side of HSC-BPPV. Objective: To propose and compare the efficacy of the latency test (LT) i...
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更新日期:2019-10-01 00:00:00
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更新日期:1978-01-01 00:00:00
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更新日期:2006-12-01 00:00:00
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doi:10.3109/00016488709107331
更新日期:1987-09-01 00:00:00
abstract:CONCLUSIONS:The presented results add further support to the observation that laser microsurgery is the preferential surgical treatment for recurrent respiratory papillomatosis (RRP). A meticulous follow-up for early recognition of local recurrence and malignant transformation is recommended. OBJECTIVES:Endoscopic mic...
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更新日期:2007-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2002-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2007-07-01 00:00:00
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更新日期:2020-10-01 00:00:00
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更新日期:1999-01-01 00:00:00
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更新日期:1991-01-01 00:00:00
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更新日期:2016-01-01 00:00:00
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journal_title:Acta oto-laryngologica
pub_type: 杂志文章,评审
doi:
更新日期:1987-05-01 00:00:00
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更新日期:1986-03-01 00:00:00