{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:52:02Z","timestamp":1787748722303,"version":"build-2784847793"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1991,1,1]],"date-time":"1991-01-01T00:00:00Z","timestamp":662688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>The objective of surgical management of acoustic tumors is to remove them entirely and preserve facial nerve function and hearing when possible. A dilemma arises when it is not possible to remove the entire tumor without incurring additional neurologic deficits. Twenty patients who underwent intentional incomplete surgical removal of an acoustic neuroma to avoid further neurologic deficit were retrospectively reviewed. They were divided into a subtotal group (resection of less than 95% of tumor) and a near\u2010total group (resection of 95% or more of tumor) and were followed yearly with either computed tomography or magnetic resonance imaging. The subtotal group was planned and consisted of elderly patients (mean age, 68.5 years) with large tumors (mean, 3.1\u00a0cm). The near\u2010total group consisted of younger patients (mean age, 45.8 years) and smaller tumors (mean, 2.3\u00a0cm). The mean length of followup for all patients was 5.0 years. Ninety percent of patients had House grade I or II facial function post\u2010operatively. Radiologically detectable tumor regrowth occurred in only one patient, who was in the subtotal resection group. Near\u2010total resection of acoustic tumor was not associated with radiologic evidence of regrowth of tumor for the period of observation. Within the limits of the follow\u2010up period of this study, subtotal resection of acoustic neuroma in elderly patients was not associated with clinically significant recurrence in most patients and produced highly satisfactory rates of facial preservation with low surgical morbidity.<\/jats:p>","DOI":"10.1177\/019459989110400117","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:42:29Z","timestamp":1448433749000},"page":"96-99","source":"Crossref","is-referenced-by-count":66,"title":["Operative management of acoustic neuromas: The priority of neurologic function over complete resection"],"prefix":"10.1002","volume":"104","author":[{"given":"John L.","family":"Kemink","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Michigan, Ann Arbor Farmington Hills Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan W.","family":"Langman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Michigan, Ann Arbor Farmington Hills Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Niparko","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery University of Michigan, Ann Arbor Farmington Hills Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm D.","family":"Graham","sequence":"additional","affiliation":[{"name":"Michigan Ear Institute Farmington Hills Farmington Hills Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"129","article-title":"Operation for total removal of cerebellopontine (acoustic) tumors","volume":"41","author":"Dandy WE","year":"1925","journal-title":"Am J Otol"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199006000-00009"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200211"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198507000-00002"},{"key":"e_1_2_1_6_1","volume-title":"Tumors of the nevus acousticus and the syndrome of the cerebellopontile angle","author":"Cushing H","year":"1917"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1968.00770010646013"},{"key":"e_1_2_1_8_1","first-page":"28","article-title":"Unilateral neurilemmomas of the eighth cranial nerve: then and now","volume":"3","author":"Cross Jr JP","year":"1981","journal-title":"Am J Otol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1967.26.1part1.0006"},{"key":"e_1_2_1_10_1","first-page":"293","article-title":"Growth potential of acoustic neuromas","volume":"10","author":"Wennerberg J","year":"1989","journal-title":"Am J Otol"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1986.96.8.825"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300204"},{"key":"e_1_2_1_13_1","first-page":"12","article-title":"Acoustic neuroma: clinical aspects, audio\u2010vestibular assessment, diagnostic delay, and growth rate","volume":"11","author":"Thomsen J","year":"1990","journal-title":"Am J Otol"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400312"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709700605"},{"key":"e_1_2_1_16_1","first-page":"55","article-title":"Neurophysiologic intraoperative monitoring. 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Facial nerve function","volume":"10","author":"Niparko JK","year":"1989","journal-title":"Am J Otol"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00548193"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110400117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110400117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:07:08Z","timestamp":1760951228000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989110400117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1177\/019459989110400117"],"URL":"https:\/\/doi.org\/10.1177\/019459989110400117","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}