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The mean follow\u2010up period was 3.4 years, mean annual growth rate was 3.2\u00a0mm\/year, mean annual volume growth rate was 0.72\u00a0ml\/year, and mean annual relative growth rate was 41%. Tumor growth was observed in 90 (74%) patients (94 tumors), no growth was seen in 23 (18%) patients (23 tumors), and negative tumor growth was seen in 10 (8%) patients (10 tumors). Surgery due to tumor growth was performed in 35 (28%) patients (35 tumors), 7 (6%) patients (7 tumors) were treated with \u03b3\u2010radiation and\/or shunt insertion, 7 (6%) patients died of brain stem herniation induced by tumor compression, 9 (7%) patients died of non\u2010tumor\u2010related causes, 28 patients were classified as candidates for hearing preservation surgery, and 21 (75%) patients lost their candidacy during the observation period due to tumor growth and\/or deterioration of hearing. The results may limit indications for allocation of patients with vestibular schwannoma to the wait\u2010and\u2010see group.<\/jats:p>","DOI":"10.1016\/s0194-59989570138-9","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:36:13Z","timestamp":1664372173000},"page":"5-14","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Acoustic neuroma (vestibular schwannoma): Growth and surgical and nonsurgical consequences of the wait\u2010and\u2010see policy"],"prefix":"10.1002","volume":"113","author":[{"given":"Samih","family":"Charabi","sequence":"first","affiliation":[{"name":"Departments of Otorhinolaryngology Head and Neck Surgery Gentofte University Hospital Hellerup Copenhagen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Departments of Otorhinolaryngology Head and Neck Surgery Gentofte 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