{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T23:21:54Z","timestamp":1785280914658,"version":"3.55.0"},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2013,4,3]],"date-time":"2013-04-03T00:00:00Z","timestamp":1364947200000},"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":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113000546_sec1\"><jats:title>Background:<\/jats:title><jats:p>Vestibular schwannomas are benign tumours which usually originate from the vestibular portion of the VIIIth cranial nerve. Treatment options include observation with serial imaging, stereotactic radiation and microsurgical removal.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000546_sec2\"><jats:title>Aim:<\/jats:title><jats:p>The goal of surgery was complete eradication of tumour with preservation of hearing and facial nerve function.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000546_sec3\"><jats:title>Methods:<\/jats:title><jats:p>A retrospective review was undertaken of 24 cases of vestibular schwannoma jointly operated upon by a team of neurosurgeons and otologists at the Suez Canal University Hospital, with assessment of VIIth and VIIIth cranial nerve function, tumour size, and extent of growth. All surgery utilised a retromastoid, suboccipital approach.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000546_sec4\"><jats:title>Results:<\/jats:title><jats:p>Complete tumour removal was achieved in 19 patients. Anatomical preservation of the facial nerve was possible in 66.6 per cent of patients. Pre-operative, useful hearing was present in four patients, and preserved in 80 per cent. Cerebrospinal fluid leakage was diagnosed in two (8.3 per cent) patients, who responded to conservative therapy.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000546_sec5\"><jats:title>Conclusion:<\/jats:title><jats:p>The retromastoid, suboccipital surgical approach to the skull base can be safely and successfully achieved using a microsurgical technique, with minimal or no damage to neurovascular structures, even for large tumours.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113000546","type":"journal-article","created":{"date-parts":[[2013,4,3]],"date-time":"2013-04-03T17:15:02Z","timestamp":1365009302000},"page":"473-478","source":"Crossref","is-referenced-by-count":5,"title":["Surgical management of vestibular schwannoma: attempted preservation of hearing and facial function"],"prefix":"10.1017","volume":"127","author":[{"given":"T F","family":"Youssef","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Matter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M R","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,4,3]]},"reference":[{"key":"S0022215113000546_ref17","first-page":"3","article-title":"The suboccipital approach in functional surgery of acoustic neuroma [in Italian]","volume":"13","author":"Mazzoni","year":"1993","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"S0022215113000546_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.3.241"},{"key":"S0022215113000546_ref22","first-page":"329","article-title":"Hearing preservation and tinnitus following removal of acoustic neurinomas [in Japanese]","volume":"24","author":"Kurokawa","year":"1996","journal-title":"No Shinkei Geka"},{"key":"S0022215113000546_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318163f920"},{"key":"S0022215113000546_ref24","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.102.1.0006"},{"key":"S0022215113000546_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700110"},{"key":"S0022215113000546_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000227900.57785.ec"},{"key":"S0022215113000546_ref3","doi-asserted-by":"publisher","DOI":"10.1080\/14992020802033083"},{"key":"S0022215113000546_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300202"},{"key":"S0022215113000546_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(88)90007-9"},{"key":"S0022215113000546_ref15","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197906000-00004"},{"key":"S0022215113000546_ref6","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2005.18.4.11"},{"key":"S0022215113000546_ref8","first-page":"564","article-title":"Technique of hearing preservation during acoustic neuroma surgery [in Chinese]","volume":"43","author":"Yang","year":"2008","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"S0022215113000546_ref20","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2003.14.5.2"},{"key":"S0022215113000546_ref10","first-page":"305","article-title":"A large vestibular schwannoma that did not grow for 18 years","volume":"7","author":"Timmer","year":"2011","journal-title":"B-ENT"},{"key":"S0022215113000546_ref7","doi-asserted-by":"publisher","DOI":"10.4103\/0976-3147.80084"},{"key":"S0022215113000546_ref18","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2000.92.1.0070"},{"key":"S0022215113000546_ref9","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.53263"},{"key":"S0022215113000546_ref13","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2008.43.1.57"},{"key":"S0022215113000546_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2003.010827"},{"key":"S0022215113000546_ref16","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1993.78.6.0864"},{"key":"S0022215113000546_ref21","doi-asserted-by":"publisher","DOI":"10.3109\/02688699409101179"},{"key":"S0022215113000546_ref23","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.102.4.0643"},{"key":"S0022215113000546_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2007.01.001"}],"container-title":["The Journal of Laryngology &amp; 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