{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T20:39:30Z","timestamp":1771706370416,"version":"3.50.1"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2011,12,13]],"date-time":"2011-12-13T00:00:00Z","timestamp":1323734400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215111003124_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To determine the implications of a functional approach to vestibular schwannoma surgery, with facial nerve function prioritised higher than total tumour excision.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec2\"><jats:title>Study design:<\/jats:title><jats:p>A case\u2013control study in a tertiary referral neurotology clinic.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec3\"><jats:title>Patients:<\/jats:title><jats:p>A \u2018functional\u2019 surgical group treated after April 2007 (<jats:italic>n<\/jats:italic>\u00a0=\u00a044, mean cerebellopontine angle dimension 27\u00a0mm), and an \u2018excisional\u2019 surgical group matched for tumour size, treated from 1997 to April 2007 (<jats:italic>n<\/jats:italic>\u00a0=\u00a0115).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec4\"><jats:title>Intervention:<\/jats:title><jats:p>Change to more functional surgical approach.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec5\"><jats:title>Main outcomes measured:<\/jats:title><jats:p>Primary outcome: facial nerve status. Secondary outcome: tumour recurrence in less-than-total tumour excision.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec6\"><jats:title>Results:<\/jats:title><jats:p>Facial nerve preservation: 77 per cent House\u2013Brackmann grade I\u2013II in functional group at 12 months, versus 57 per cent grade I\u2013II in excisional group (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.027). Tumour recurrence: 1 per cent in total excision group, 2 per cent in near-total group and 40 per cent in sub-total group.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215111003124_sec7\"><jats:title>Conclusion:<\/jats:title><jats:p>A functional approach to vestibular schwannoma surgery improves facial nerve preservation outcomes and reduces the requirement for facial nerve rehabilitative interventions. Tumour recurrence rates are low in near-totally excised lesions but significant if only sub-total excision is achieved.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215111003124","type":"journal-article","created":{"date-parts":[[2011,12,13]],"date-time":"2011-12-13T16:38:30Z","timestamp":1323794310000},"page":"120-124","source":"Crossref","is-referenced-by-count":22,"title":["Facial nerve outcomes in functional vestibular schwannoma surgery: less than total tumour excision significantly improves results"],"prefix":"10.1017","volume":"126","author":[{"given":"T P C","family":"Martin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Fox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E-C","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Holder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R M","family":"Irving","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2011,12,13]]},"reference":[{"key":"S0022215111003124_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80049-6"},{"key":"S0022215111003124_ref8","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.46.176"},{"key":"S0022215111003124_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)01598-5"},{"key":"S0022215111003124_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318159e76a"},{"key":"S0022215111003124_ref4","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198507000-00002"},{"key":"S0022215111003124_ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000156714"},{"key":"S0022215111003124_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"S0022215111003124_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181a8651f"},{"key":"S0022215111003124_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00019"},{"key":"S0022215111003124_ref9","first-page":"59","article-title":"Recurrence after incompletely resected acousticus neurinomas","volume":"40","author":"Sakaki","year":"1991","journal-title":"Med J Osaka Univ"},{"key":"S0022215111003124_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000169786.22707.12"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215111003124","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T01:53:54Z","timestamp":1556243634000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215111003124\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12,13]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,2]]}},"alternative-id":["S0022215111003124"],"URL":"https:\/\/doi.org\/10.1017\/s0022215111003124","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12,13]]}}}