{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T02:43:15Z","timestamp":1789785795227,"version":"4.0.1"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T00:00:00Z","timestamp":1463702400000},"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":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215116007969_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To undertake a systematic review of the role of microsurgery, in relation to observation and stereotactic radiation, in the management of small vestibular schwannomas with serviceable hearing.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116007969_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>The Medline database was searched for publications that included the terms \u2018vestibular schwannoma\u2019 and\/or \u2018acoustic neuroma\u2019, occurring in conjunction with \u2018hearing\u2019. Articles were manually screened to identify those concerning vestibular schwannomas under 1.5 cm in greatest dimension. Thereafter, only publications discussing both pre-operative and post-operative hearing were considered.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116007969_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Twenty-six papers were identified. Observation is an acceptable strategy for small tumours with slow growth where hearing preservation is not a consideration. In contrast, microsurgery, including the middle fossa approach, may provide excellent hearing outcomes, particularly when a small tumour has begun to cause hearing loss. Immediate post-operative hearing usually predicts long-term hearing. Recent data on stereotactic radiation suggest long-term deterioration of hearing following definitive therapy.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116007969_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>In patients under the age of 65 years with small vestibular schwannomas, microsurgery via the middle fossa approach offers durable preservation of hearing.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215116007969","type":"journal-article","created":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T12:20:20Z","timestamp":1463746820000},"page":"606-610","source":"Crossref","is-referenced-by-count":21,"title":["Optimal outcomes for hearing preservation in the management of small vestibular schwannomas"],"prefix":"10.1017","volume":"130","author":[{"given":"K A","family":"Peng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E P","family":"Wilkinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2016,5,20]]},"reference":[{"key":"S0022215116007969_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2012.03.016"},{"key":"S0022215116007969_ref25","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e31823110f1"},{"key":"S0022215116007969_ref19","doi-asserted-by":"publisher","DOI":"10.3171\/JNS-07\/10\/0733"},{"key":"S0022215116007969_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2008.09.023"},{"key":"S0022215116007969_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2006.10.009"},{"key":"S0022215116007969_ref8","doi-asserted-by":"publisher","DOI":"10.3171\/2009.4.JNS08895"},{"key":"S0022215116007969_ref15","doi-asserted-by":"publisher","DOI":"10.3171\/2012.9.JNS12919"},{"key":"S0022215116007969_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(99)00079-6"},{"key":"S0022215116007969_ref13","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2001.94.1.0007"},{"key":"S0022215116007969_ref20","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.102.s_supplement.0195"},{"key":"S0022215116007969_ref31","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.88.5.0840"},{"key":"S0022215116007969_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70101-X"},{"key":"S0022215116007969_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.01.012"},{"key":"S0022215116007969_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09521-1"},{"key":"S0022215116007969_ref21","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196111000-00004"},{"key":"S0022215116007969_ref33","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200501000-00018"},{"key":"S0022215116007969_ref28","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2005.102.1.0006"},{"key":"S0022215116007969_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700110"},{"key":"S0022215116007969_ref9","first-page":"21","article-title":"The natural history of untreated vestibular schwannomas. Is there a role for conservative management?","volume":"121","author":"Walsh","year":"2000","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"S0022215116007969_ref30","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181e8fc3f"},{"key":"S0022215116007969_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200604000-00015"},{"key":"S0022215116007969_ref22","first-page":"596","article-title":"Middle fossa approach for hearing preservation with acoustic neuromas","volume":"18","author":"Slattery","year":"1997","journal-title":"Am J Otol"},{"key":"S0022215116007969_ref24","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.JNS1297"},{"key":"S0022215116007969_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.08.002"},{"key":"S0022215116007969_ref23","article-title":"Hearing outcomes after middle fossa or retrosigmoid craniotomy for vestibular schwannoma tumors","author":"Wilkinson","year":"2016","journal-title":"J Neurol Surg B Skull Base"},{"key":"S0022215116007969_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21190"},{"key":"S0022215116007969_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107001077"},{"key":"S0022215116007969_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(03)00444-9"},{"key":"S0022215116007969_ref4","first-page":"236","article-title":"Management of acoustic neuroma in the elderly population","volume":"18","author":"Glasscock","year":"1997","journal-title":"Am J Otol"},{"key":"S0022215116007969_ref10","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2000.92.5.0745"},{"key":"S0022215116007969_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80054-X"},{"key":"S0022215116007969_ref16","doi-asserted-by":"publisher","DOI":"10.3171\/2011.7.JNS11749"},{"key":"S0022215116007969_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181edb8b2"},{"key":"S0022215116007969_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70138-9"},{"key":"S0022215116007969_ref35","first-page":"1540","article-title":"Serial follow-up MR imaging after gamma knife radiosurgery for vestibular schwannoma","volume":"21","author":"Nakamura","year":"2000","journal-title":"AJNR Am J Neuroradiol"}],"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\/S0022215116007969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,18]],"date-time":"2019-04-18T22:23:10Z","timestamp":1555626190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215116007969\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,20]]},"references-count":35,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["S0022215116007969"],"URL":"https:\/\/doi.org\/10.1017\/s0022215116007969","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,20]]}}}