{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:31:28Z","timestamp":1785306688916,"version":"3.55.0"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:00:00Z","timestamp":1734480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004334","name":"Merck","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004334","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004328","name":"Genentech","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004328","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.wneu.2024.123603","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T04:04:36Z","timestamp":1738209876000},"page":"123603","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["A 25-Year Update on the Facial Nerve Sparing Approach for Vestibular Schwannoma"],"prefix":"10.1016","volume":"195","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9011-1668","authenticated-orcid":false,"given":"Jonathan A.","family":"Sisti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mychael W.","family":"Delgardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3058-9122","authenticated-orcid":false,"given":"Nina","family":"Yoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ogoegbunam B.","family":"Okolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavan S.","family":"Upadhyayula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9429-1683","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Pascual-Leone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine R.","family":"Paccione","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5809-3025","authenticated-orcid":false,"given":"Tony J.C.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Sisti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2024.123603_bib1","first-page":"917","article-title":"Efficacy of facial nerve\u2013sparing approach in patients with vestibular schwannomas","volume":"115","author":"Haque","year":"2011","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib2","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1056\/NEJM199811123392003","article-title":"Long-term outcomes after radiosurgery for acoustic neuromas","volume":"339","author":"Kondziolka","year":"1998","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.wneu.2024.123603_bib11","first-page":"211","article-title":"Patient-assessed outcomes after excision of acoustic neuroma: postoperative symptoms and quality of life","volume":"94","author":"Martin","year":"2001","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1093\/aje\/kwu081","article-title":"Loud noise exposure and acoustic neuroma","volume":"180","author":"Fisher","year":"2014","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.wneu.2024.123603_bib4","doi-asserted-by":"crossref","first-page":"E1084","DOI":"10.1093\/neuros\/nyz229","article-title":"Treatment outcomes and dose rate effects following gamma knife stereotactic radiosurgery for vestibular schwannomas","volume":"85","author":"Smith","year":"2019","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.123603_bib5","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.otohns.2008.12.031","article-title":"Facial nerve grading system 2.0","volume":"140","author":"Vrabec","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2024.123603_bib6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s11060-009-9842-3","article-title":"Facial nerve preservation after vestibular schwannoma Gamma Knife radiosurgery","volume":"93","author":"Yang","year":"2009","journal-title":"J\u00a0Neuro Oncol"},{"key":"10.1016\/j.wneu.2024.123603_bib7","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.wneu.2024.123603_bib8","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1159\/000156718","article-title":"Facial nerve function insufficiency after radiosurgery versus microsurgery","volume":"21","author":"Tamura","year":"2008","journal-title":"Prog Neurol Surg"},{"key":"10.1016\/j.wneu.2024.123603_bib9","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1159\/000156714","article-title":"Facial nerve outcome after microsurgical resection of vestibular schwannoma","volume":"21","author":"Marouf","year":"2008","journal-title":"Prog Neurol Surg"},{"key":"10.1016\/j.wneu.2024.123603_bib10","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1097\/00006123-199704000-00006","article-title":"Management of 1000 vestibular schwannomas (acoustic neuromas): the facial nerve--preservation and restitution of function","volume":"40","author":"Samii","year":"1997","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.123603_bib21","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1055\/s-0034-1371525","article-title":"Long-term outcome of gamma knife radiosurgery for vestibular schwannoma","volume":"75","author":"Bir","year":"2014","journal-title":"J\u00a0Neurol Surg B Skull Base"},{"key":"10.1016\/j.wneu.2024.123603_bib12","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jocn.2021.11.004","article-title":"Outcomes in vestibular schwannoma treated with primary microsurgery: clinical landscape","volume":"96","author":"Landry","year":"2022","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2024.123603_bib13","first-page":"1091","article-title":"Functional outcome after gamma knife surgery or microsurgery for vestibular schwannomas","volume":"97","author":"R\u00e9gis","year":"2002","journal-title":"J\u00a0Neurosurg"},{"issue":"Suppl 4","key":"10.1016\/j.wneu.2024.123603_bib14","first-page":"S362","article-title":"The changing paradigm for the surgical treatment of large vestibular schwannomas","volume":"79","author":"Daniel","year":"2018","journal-title":"J\u00a0Neurol Surg B Skull Base"},{"key":"10.1016\/j.wneu.2024.123603_bib15","doi-asserted-by":"crossref","DOI":"10.3171\/2017.12.FOCUS17669","article-title":"Systematic review and meta-analysis of the technique of subtotal resection and stereotactic radiosurgery for large vestibular schwannomas: a \u201cnerve-centered\u201d approach","volume":"44","author":"Starnoni","year":"2018","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123603_bib16","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1007\/s00701-017-3194-0","article-title":"Preserving normal facial nerve function and improving hearing outcome in large vestibular schwannomas with a combined approach: planned subtotal resection followed by gamma knife radiosurgery","volume":"159","author":"Daniel","year":"2017","journal-title":"Acta Neurochir"},{"key":"10.1016\/j.wneu.2024.123603_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.clineuro.2020.106148","article-title":"Facial nerve outcomes following gamma knife radiosurgery for subtotally resected vestibular schwannomas: early versus delayed timing of therapy","volume":"198","author":"Ng","year":"2020","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib17","first-page":"1052","article-title":"Long-term risk of recurrence and regrowth after gross-total and subtotal resection of sporadic vestibular schwannoma","volume":"133","author":"Nakatomi","year":"2017","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib18","doi-asserted-by":"crossref","first-page":"e599","DOI":"10.1016\/j.wneu.2019.03.218","article-title":"Predictive factors of early postoperative and long-term facial nerve function after large vestibular schwannoma surgery","volume":"127","author":"Troude","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib20","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1159\/000447520","article-title":"Outcomes in patients with vestibular schwannoma after subtotal resection and adjuvant radiosurgery","volume":"94","author":"Radwan","year":"2016","journal-title":"Stereotact Funct Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib22","doi-asserted-by":"crossref","first-page":"176","DOI":"10.2176\/nmc.46.176","article-title":"Optimal extent of resection in vestibular schwannoma surgery: relationship to recurrence and facial nerve preservation","volume":"46","author":"Seol","year":"2006","journal-title":"Neurol Med Chir"},{"key":"10.1016\/j.wneu.2024.123603_bib23","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1093\/neuros\/nyx245","article-title":"Quality of life in patients with vestibular schwannomas following gross total or less than gross total microsurgical resection: should we be taking the entire tumor out?","volume":"82","author":"Link","year":"2018","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.123603_bib24","doi-asserted-by":"crossref","first-page":"1697","DOI":"10.1002\/lary.25110","article-title":"What drives quality of life in patients with sporadic vestibular schwannoma?","volume":"125","author":"Carlson","year":"2015","journal-title":"Laryngoscope"},{"key":"10.1016\/j.wneu.2024.123603_bib25","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/13607863.2014.920295","article-title":"Personality, psychosocial and health-related predictors of quality of life in old age","volume":"19","author":"Weber","year":"2015","journal-title":"Aging Ment Health"},{"key":"10.1016\/j.wneu.2024.123603_bib26","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1097\/00005537-200009000-00024","article-title":"Impact of facial paralysis on patients with acoustic neuroma","volume":"110","author":"Cross","year":"2000","journal-title":"Laryngoscope"},{"key":"10.1016\/j.wneu.2024.123603_bib27","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1002\/lio2.371","article-title":"Quality of life, social function, emotion, and facial paresis in Dutch vestibular schwannoma patients","volume":"5","author":"Blom","year":"2020","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"Suppl","key":"10.1016\/j.wneu.2024.123603_bib28","first-page":"69","article-title":"Intracapsular decompression or radical resection followed by Gamma Knife surgery for patients harboring a large vestibular schwannoma","volume":"117","author":"Pan","year":"2012","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.123603_bib29","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2009.8.FOCUS09144","article-title":"Intraoperative neurophysiological monitoring in vestibular schwannoma surgery: advances and clinical implications","volume":"27","author":"Youssef","year":"2009","journal-title":"Neurosurg Focus"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020539?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020539?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:18:21Z","timestamp":1762561101000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875024020539"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":29,"alternative-id":["S1878875024020539"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123603","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A 25-Year Update on the Facial Nerve Sparing Approach for Vestibular Schwannoma","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123603","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"123603"}}