{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:08:15Z","timestamp":1792022895905,"version":"4.4.0"},"reference-count":114,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2012,9]]},"abstract":"\n Object<\/jats:title>\n The object of this study was to evaluate facial nerve outcomes in the surgical treatment of large vestibular schwannomas (VSs; \u2265 2.5 cm maximal or extrameatal cerebellopontine angle diameter) based on both the operative approach and extent of tumor resection.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A PubMed search was conducted of English language studies on the treatment of large VSs published from 1985 to 2011. Studies were then evaluated and included if they contained data regarding the size of the tumor, surgical approach, extent of resection, and postoperative facial nerve function.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 536 studies initially screened, 59 full-text articles were assessed for eligibility, and 30 studies were included for analysis. A total of 1688 tumor resections were reported. Surgical approach was reported in 1390 patients and was significantly associated with facial nerve outcome (\u03d5= 0.29, p < 0.0001). Good facial nerve outcomes (House-Brackmann Grade I or II) were produced in 62.5% of the 555 translabyrinthine approaches, 65.2% of the 601 retrosigmoid approaches, and 27.4% of the 234 extended translabyrinthine approaches. Facial nerve outcomes from translabyrinthine and retrosigmoid approaches were not significantly different from each other, but both showed significantly more good facial nerve outcomes, compared with the extended translabyrinthine approach (OR for translabyrinthine vs extended translabyrinthine = 4.43, 95% CI 3.17\u20136.19, p < 0.0001; OR for retrosigmoid vs extended translabyrinthine = 4.98, 95% CI 3.57\u20136.95, p < 0.0001). There were 471 patients for whom extent of resection was reported. There was a strong and significant association between degree of resection and outcome (\u03d5= 0.38, p < 0.0001). Of the 80 patients receiving subtotal resections, 92.5% had good facial nerve outcomes, compared with 74.6% (n = 55) and 47.3% (n = 336) of those who received near-total resections and gross-total resections, respectively. In the 2-way comparison of good versus suboptimal\/poor outcomes (House-Brackmann Grade III\u2013VI), subtotal resection was significantly better than near-total resection (OR = 4.21, 95% CI 1.50\u201311.79; p = 0.004), and near-total resection was significantly better than gross-total resection (OR = 3.26, 95% CI 1.71\u20136.20; p = 0.0002) in producing better facial nerve outcomes.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In a pooled patient population from studies evaluating the treatment of large VSs, subtotal and near-total resections were shown to produce better facial nerve outcomes when compared with gross-total resections. The translabyrinthine and retrosigmoid surgical approaches are likely to result in similar rates of good facial nerve outcomes. Both of these approaches show better facial nerve outcomes when compared with the extended translabyrinthine approach, which is typically reserved for especially large tumors. The reported literature on treatment of large VSs is extremely heterogeneous and minimal consistency in reporting outcomes was observed.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2012.7.focus12199","type":"journal-article","created":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T12:14:35Z","timestamp":1346501675000},"page":"E16","source":"Crossref","is-referenced-by-count":104,"title":["Facial nerve outcomes after surgery for large vestibular schwannomas: do surgical approach and extent of resection matter?"],"prefix":"10.3171","volume":"33","author":[{"given":"Richard K.","family":"Gurgel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Stanford University, Stanford, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salim","family":"Dogru","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, GATA-Haydarpasa Military Hospital, Istanbul, Turkey; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Amdur","sequence":"additional","affiliation":[{"name":"Departments of Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashkan","family":"Monfared","sequence":"additional","affiliation":[{"name":"Departments of Surgery and"},{"name":"Neurosurgery, George Washington University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0330016","series-title":"J Neurosurg","first-page":"643","article-title":"Resection of large vestibular schwannomas: facial nerve preservation in the context of surgical approach and patient-assessed outcome","volume":"102","author":"Anderson","year":"2005"},{"key":"b2-0330016","series-title":"Otol Neurotol","first-page":"125","article-title":"Enlarged translabyrinthine approach with transapical extension in the management of giant vestibular schwannomas: personal experience and review of literature","volume":"32","author":"Angeli","year":"2011"},{"key":"b3-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"104","article-title":"The fate of the tumor remnant after less-than-complete acoustic neuroma resection","volume":"130","author":"Bloch","year":"2004"},{"key":"b4-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"773","article-title":"Facial nerve function after translabyrinthine vestibular schwannoma surgery","volume":"136","author":"Brackmann","year":"2007"},{"key":"b5-0330016","series-title":"Neurosurgery","first-page":"785","article-title":"Translabyrinthine removal of large acoustic neuromas","volume":"34","author":"Briggs","year":"1994"},{"key":"b6-0330016","series-title":"Laryngoscope","first-page":"378","article-title":"Magnetic resonance imaging surveillance following vestibular schwannoma resection","volume":"122","author":"Carlson","year":"2012"},{"key":"b7-0330016","series-title":"Acta Otolaryngol","first-page":"1249","article-title":"Perioperative complications after translabyrinthine removal of large or giant vestibular schwannoma: outcomes for 123 patients","volume":"130","author":"Charpiot","year":"2010"},{"key":"b8-0330016","series-title":"Clin Neurol Neurosurg","first-page":"47","article-title":"Vestibular schwannoma microsurgery with special reference to facial nerve preservation","volume":"111","author":"Chen","year":"2009"},{"key":"b9-0330016","series-title":"Neurosurgery","first-page":"915","article-title":"Staged removal of acoustic tumors: techniques and lessons learned from a series of 83 patients","volume":"37","author":"Comey","year":"1995"},{"key":"b10-0330016","series-title":"Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontile Angle","author":"Cushing","year":"1917"},{"key":"b11-0330016","series-title":"Surg Gynecol Obstet","first-page":"129","article-title":"An operation for the total removal of cerebellopontine (acoustic) tumors","volume":"41","author":"Dandy","year":"1925"},{"key":"b12-0330016","series-title":"Laryngoscope","first-page":"681","article-title":"Vestibular schwannoma surgery outcomes: our multidisciplinary experience in 400 cases over 17 years","volume":"114","author":"Darrouzet","year":"2004"},{"key":"b13-0330016","series-title":"ANZ J Surg","first-page":"893","article-title":"Facial nerve function and hearing preservation after retrosigmoid excision of vestibular schwannoma: Christchurch Hospital experience with 97 patients","volume":"75","author":"Darwish","year":"2005"},{"key":"b14-0330016","series-title":"Neurosurgery","first-page":"418","article-title":"Intraoperative monitoring of facila muscle evoked responses obtained by intracranial stimulation of the facila nerve: a more accurate technique for facila nerve dissection","volume":"4","author":"Delgado","year":"1979"},{"key":"b15-0330016","series-title":"A Res Publ Ass Nerv Ment Dis Proc","first-page":"390","article-title":"Long postoperative survivals in cases of intracranial tumor","volume":"16","author":"Eisenhardt","year":"1935"},{"key":"b16-0330016","series-title":"Am J Otol","first-page":"389","article-title":"Recurrence of acoustic neuroma after incomplete resection","volume":"21","author":"El-Kashlan","year":"2000"},{"key":"b17-0330016","series-title":"Otol Neurotol","first-page":"1322","article-title":"A paradigm shift in salvage surgery for radiated vestibular schwannoma","volume":"32","author":"Friedman","year":"2011"},{"key":"b18-0330016","series-title":"Prog Neurol Surg","first-page":"79","article-title":"Management of large vestibular schwannomas by combined surgical resection and gamma knife radiosurgery","volume":"21","author":"Fuentes","year":"2008"},{"key":"b19-0330016","series-title":"J Neurosurg","first-page":"1224","article-title":"Clinicopathological factors related to regrowth of vestibular schwannoma after incomplete resection. Clinical article","volume":"114","author":"Fukuda","year":"2011"},{"key":"b20-0330016","series-title":"Laryngoscope","first-page":"1088","article-title":"A systematic approach to the surgical management of acoustic neuroma","volume":"96","author":"Glasscock","year":"1986"},{"key":"b21-0330016","series-title":"Otol Neurotol","first-page":"629","article-title":"Surgery for large vestibular schwannoma: residual tumor and outcome","volume":"30","author":"Godefroy","year":"2009"},{"key":"b22-0330016","series-title":"J Neurosurg","first-page":"917","article-title":"Efficacy of facial nerve\u2013sparing approach in patients with vestibular schwannomas. Clinical article","volume":"115","author":"Haque","year":"2011"},{"key":"b23-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"146","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985"},{"key":"b24-0330016","series-title":"Arch Otolaryngol","first-page":"644","article-title":"Partial tumor removal and recurrence in acoustic tumor surgery","volume":"88","author":"House","year":"1968"},{"key":"b25-0330016","series-title":"Surg Neurol","first-page":"283","article-title":"Surgery combined with radiosurgery of large acoustic neuromas","volume":"59","author":"Iwai","year":"2003"},{"key":"b26-0330016","series-title":"Am J Otol","first-page":"811","article-title":"Comparability in reporting outcomes: a scientific imperative","volume":"17","author":"Jackler","year":"1996"},{"key":"b27-0330016","series-title":"Surg Neurol","first-page":"370","article-title":"Current surgical results of retrosigmoid approach in extra-large vestibular schwannomas","volume":"53","author":"Jung","year":"2000"},{"key":"b28-0330016","series-title":"Otol Neurotol","first-page":"642","article-title":"New and modified reporting systems from the consensus meeting on systems for reporting results in vestibular schwannoma","volume":"24","author":"Kanzaki","year":"2003"},{"key":"b29-0330016","series-title":"Otolaryngol Clin North Am","first-page":"377","article-title":"Acoustic neuroma update","volume":"29","author":"Kartush","year":"1996"},{"key":"b30-0330016","series-title":"Br J Neurosurg","first-page":"657","article-title":"Acoustic tumour volume and the prediction of facial nerve functional outcome from intraoperative monitoring","volume":"7","author":"Kirkpatrick","year":"1993"},{"key":"b31-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"561","article-title":"Facial nerve outcome after acoustic neuroma surgery: a study from the era of cranial nerve monitoring","volume":"111","author":"Lalwani","year":"1994"},{"key":"b32-0330016","series-title":"J Neurosurg","first-page":"617","article-title":"Report of 190 consecutive cases of large acoustic tumors (vestibular schwannoma) removed via the translabyrinthine approach","volume":"90","author":"Lanman","year":"1999"},{"key":"b33-0330016","series-title":"Skull Base","first-page":"189","article-title":"Current results of the surgical management of acoustic neuroma","volume":"12","author":"Lee","year":"2002"},{"key":"b34-0330016","series-title":"Otol Neurotol","first-page":"224","article-title":"Translabyrinthine approach for the management of large and giant vestibular schwannomas","volume":"23","author":"Mamikoglu","year":"2002"},{"key":"b35-0330016","series-title":"Neuro Oncol","first-page":"1252","article-title":"Morbidity and mortality following acoustic neuroma excision in the United States: analysis of racial disparities during a decade in the radiosurgery era","volume":"13","author":"McClelland","year":"2011"},{"key":"b36-0330016","series-title":"Laryngoscope","first-page":"1667","article-title":"A review of facial nerve outcome in 100 consecutive cases of acoustic tumor surgery","volume":"110","author":"McElveen","year":"2000"},{"key":"b37-0330016","series-title":"Neurol India","first-page":"257","article-title":"Current treatment strategy in the management of vestibular schwannoma","volume":"57","author":"Misra","year":"2009"},{"key":"b38-0330016","series-title":"Laryngoscope","first-page":"1153","article-title":"Preservation of hearing and facial nerve function in resection of acoustic neuroma","volume":"102","author":"Nadol","year":"1992"},{"key":"b39-0330016","series-title":"Laryngoscope","first-page":"1548","article-title":"Temporal bone histopathology in neurofibromatosis type 2","volume":"121","author":"Nam","year":"2011"},{"key":"b40-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"11","article-title":"Staged resection of large acoustic neuromas","volume":"132","author":"Patni","year":"2005"},{"key":"b41-0330016","series-title":"Acta Neurochir (Wien)","first-page":"697","article-title":"Microsurgical results with large vestibular schwannomas with preservation of facial and cochlear nerve function as the primary aim","volume":"147","author":"Raftopoulos","year":"2005"},{"key":"b42-0330016","series-title":"J Neurosurg","first-page":"1126","article-title":"Staged resection of large vestibular schwannomas. Clinical article","volume":"116","author":"Raslan","year":"2012"},{"key":"b43-0330016","series-title":"Skull Base","first-page":"85","article-title":"Cranial nerve preservation in surgery for large acoustic neuromas","volume":"14","author":"Roland","year":"2004"},{"key":"b44-0330016","series-title":"J Neurosurg","first-page":"860","article-title":"Functional outcome after complete surgical removal of giant vestibular schwannomas. Clinical article","volume":"112","author":"Samii","year":"2010"},{"key":"b45-0330016","series-title":"Ann Otol Rhinol Laryngol","first-page":"319","article-title":"Enlarged translabyrinthine approach for the management of large and giant acoustic neuromas: a report of 175 consecutive cases","volume":"113","author":"Sanna","year":"2004"},{"key":"b46-0330016","series-title":"World Neurosurg","first-page":"731","article-title":"Surgical removal of giant acoustic neuromas","volume":"77","author":"Silva","year":"2012"},{"key":"b47-0330016","series-title":"J Neurosurg","first-page":"1218","article-title":"Extent of resection and the long-term durability of vestibular schwannoma surgery. Clinical article","volume":"114","author":"Sughrue","year":"2011"},{"key":"b48-0330016","series-title":"Br J Neurosurg","first-page":"655","article-title":"Facial and acoustic nerve preservation during excision of extracanalicular acoustic neuromas using the suboccipital approach","volume":"8","author":"Torrens","year":"1994"},{"key":"b49-0330016","series-title":"Arch Otorhinolaryngol","first-page":"292","article-title":"The translabyrinthine approach for the removal of large acoustic neuromas","volume":"246","author":"Tos","year":"1989"},{"key":"b50-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"126","article-title":"Intraoperative facial nerve monitoring in posterior fossa acoustic neuroma surgery","volume":"108","author":"Uziel","year":"1993"},{"key":"b51-0330016","series-title":"J Neurosurg","first-page":"875","article-title":"Management of large vestibular schwannoma. Part I. Planned subtotal resection followed by Gamma Knife surgery: radiological and clinical aspects. Clinical article","volume":"115","author":"van de Langenberg","year":"2011"},{"issue":"2A","key":"b52-0330016","series-title":"Arq Neuropsiquiatr","first-page":"194","article-title":"Long-term facial nerve clinical evaluation following vestibular schwannoma surgery","volume":"66","author":"Veronezi","year":"2008"},{"key":"b53-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"645","article-title":"Long-term results of the first 500 cases of acoustic neuroma surgery","volume":"124","author":"Wiet","year":"2001"},{"key":"b54-0330016","series-title":"Auris Nasus Larynx","first-page":"201","article-title":"Translabyrinthine removal of large acoustic neuromas in young adults","volume":"27","author":"Wu","year":"2000"},{"key":"b55-0330016","series-title":"J Neurol Neurosurg Psychiatry","first-page":"453","article-title":"Removal of large acoustic neurinomas (vestibular schwannomas) by the retrosigmoid approach with no mortality and minimal morbidity","volume":"75","author":"Yamakami","year":"2004"},{"key":"b56-0330016","series-title":"J Clin Neurosci","first-page":"405","article-title":"Facial nerve function after excision of large acoustic neuromas via the suboccipital retrosigmoid approach","volume":"12","author":"Zhang","year":"2005"},{"key":"b57-0330016","series-title":"Acta Neurochir (Wien)","first-page":"1647","article-title":"Long-term facial nerve function evaluation following surgery for large acoustic neuromas via retrosigmoid transmeatal approach","volume":"152","author":"Zhao","year":"2010"},{"key":"b1-0330016","series-title":"J Neurosurg","first-page":"643","article-title":"Resection of large vestibular schwannomas: facial nerve preservation in the context of surgical approach and patient-assessed outcome","volume":"102","author":"Anderson","year":"2005"},{"key":"b2-0330016","series-title":"Otol Neurotol","first-page":"125","article-title":"Enlarged translabyrinthine approach with transapical extension in the management of giant vestibular schwannomas: personal experience and review of literature","volume":"32","author":"Angeli","year":"2011"},{"key":"b3-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"104","article-title":"The fate of the tumor remnant after less-than-complete acoustic neuroma resection","volume":"130","author":"Bloch","year":"2004"},{"key":"b4-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"773","article-title":"Facial nerve function after translabyrinthine vestibular schwannoma surgery","volume":"136","author":"Brackmann","year":"2007"},{"key":"b5-0330016","series-title":"Neurosurgery","first-page":"785","article-title":"Translabyrinthine removal of large acoustic neuromas","volume":"34","author":"Briggs","year":"1994"},{"key":"b6-0330016","series-title":"Laryngoscope","first-page":"378","article-title":"Magnetic resonance imaging surveillance following vestibular schwannoma resection","volume":"122","author":"Carlson","year":"2012"},{"key":"b7-0330016","series-title":"Acta Otolaryngol","first-page":"1249","article-title":"Perioperative complications after translabyrinthine removal of large or giant vestibular schwannoma: outcomes for 123 patients","volume":"130","author":"Charpiot","year":"2010"},{"key":"b8-0330016","series-title":"Clin Neurol Neurosurg","first-page":"47","article-title":"Vestibular schwannoma microsurgery with special reference to facial nerve preservation","volume":"111","author":"Chen","year":"2009"},{"key":"b9-0330016","series-title":"Neurosurgery","first-page":"915","article-title":"Staged removal of acoustic tumors: techniques and lessons learned from a series of 83 patients","volume":"37","author":"Comey","year":"1995"},{"key":"b10-0330016","series-title":"Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontile Angle","author":"Cushing","year":"1917"},{"key":"b11-0330016","series-title":"Surg Gynecol Obstet","first-page":"129","article-title":"An operation for the total removal of cerebellopontine (acoustic) tumors","volume":"41","author":"Dandy","year":"1925"},{"key":"b12-0330016","series-title":"Laryngoscope","first-page":"681","article-title":"Vestibular schwannoma surgery outcomes: our multidisciplinary experience in 400 cases over 17 years","volume":"114","author":"Darrouzet","year":"2004"},{"key":"b13-0330016","series-title":"ANZ J Surg","first-page":"893","article-title":"Facial nerve function and hearing preservation after retrosigmoid excision of vestibular schwannoma: Christchurch Hospital experience with 97 patients","volume":"75","author":"Darwish","year":"2005"},{"key":"b14-0330016","series-title":"Neurosurgery","first-page":"418","article-title":"Intraoperative monitoring of facila muscle evoked responses obtained by intracranial stimulation of the facila nerve: a more accurate technique for facila nerve dissection","volume":"4","author":"Delgado","year":"1979"},{"key":"b15-0330016","series-title":"A Res Publ Ass Nerv Ment Dis Proc","first-page":"390","article-title":"Long postoperative survivals in cases of intracranial tumor","volume":"16","author":"Eisenhardt","year":"1935"},{"key":"b16-0330016","series-title":"Am J Otol","first-page":"389","article-title":"Recurrence of acoustic neuroma after incomplete resection","volume":"21","author":"El-Kashlan","year":"2000"},{"key":"b17-0330016","series-title":"Otol Neurotol","first-page":"1322","article-title":"A paradigm shift in salvage surgery for radiated vestibular schwannoma","volume":"32","author":"Friedman","year":"2011"},{"key":"b18-0330016","series-title":"Prog Neurol Surg","first-page":"79","article-title":"Management of large vestibular schwannomas by combined surgical resection and gamma knife radiosurgery","volume":"21","author":"Fuentes","year":"2008"},{"key":"b19-0330016","series-title":"J Neurosurg","first-page":"1224","article-title":"Clinicopathological factors related to regrowth of vestibular schwannoma after incomplete resection. Clinical article","volume":"114","author":"Fukuda","year":"2011"},{"key":"b20-0330016","series-title":"Laryngoscope","first-page":"1088","article-title":"A systematic approach to the surgical management of acoustic neuroma","volume":"96","author":"Glasscock","year":"1986"},{"key":"b21-0330016","series-title":"Otol Neurotol","first-page":"629","article-title":"Surgery for large vestibular schwannoma: residual tumor and outcome","volume":"30","author":"Godefroy","year":"2009"},{"key":"b22-0330016","series-title":"J Neurosurg","first-page":"917","article-title":"Efficacy of facial nerve\u2013sparing approach in patients with vestibular schwannomas. Clinical article","volume":"115","author":"Haque","year":"2011"},{"key":"b23-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"146","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985"},{"key":"b24-0330016","series-title":"Arch Otolaryngol","first-page":"644","article-title":"Partial tumor removal and recurrence in acoustic tumor surgery","volume":"88","author":"House","year":"1968"},{"key":"b25-0330016","series-title":"Surg Neurol","first-page":"283","article-title":"Surgery combined with radiosurgery of large acoustic neuromas","volume":"59","author":"Iwai","year":"2003"},{"key":"b26-0330016","series-title":"Am J Otol","first-page":"811","article-title":"Comparability in reporting outcomes: a scientific imperative","volume":"17","author":"Jackler","year":"1996"},{"key":"b27-0330016","series-title":"Surg Neurol","first-page":"370","article-title":"Current surgical results of retrosigmoid approach in extra-large vestibular schwannomas","volume":"53","author":"Jung","year":"2000"},{"key":"b28-0330016","series-title":"Otol Neurotol","first-page":"642","article-title":"New and modified reporting systems from the consensus meeting on systems for reporting results in vestibular schwannoma","volume":"24","author":"Kanzaki","year":"2003"},{"key":"b29-0330016","series-title":"Otolaryngol Clin North Am","first-page":"377","article-title":"Acoustic neuroma update","volume":"29","author":"Kartush","year":"1996"},{"key":"b30-0330016","series-title":"Br J Neurosurg","first-page":"657","article-title":"Acoustic tumour volume and the prediction of facial nerve functional outcome from intraoperative monitoring","volume":"7","author":"Kirkpatrick","year":"1993"},{"key":"b31-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"561","article-title":"Facial nerve outcome after acoustic neuroma surgery: a study from the era of cranial nerve monitoring","volume":"111","author":"Lalwani","year":"1994"},{"key":"b32-0330016","series-title":"J Neurosurg","first-page":"617","article-title":"Report of 190 consecutive cases of large acoustic tumors (vestibular schwannoma) removed via the translabyrinthine approach","volume":"90","author":"Lanman","year":"1999"},{"key":"b33-0330016","series-title":"Skull Base","first-page":"189","article-title":"Current results of the surgical management of acoustic neuroma","volume":"12","author":"Lee","year":"2002"},{"key":"b34-0330016","series-title":"Otol Neurotol","first-page":"224","article-title":"Translabyrinthine approach for the management of large and giant vestibular schwannomas","volume":"23","author":"Mamikoglu","year":"2002"},{"key":"b35-0330016","series-title":"Neuro Oncol","first-page":"1252","article-title":"Morbidity and mortality following acoustic neuroma excision in the United States: analysis of racial disparities during a decade in the radiosurgery era","volume":"13","author":"McClelland","year":"2011"},{"key":"b36-0330016","series-title":"Laryngoscope","first-page":"1667","article-title":"A review of facial nerve outcome in 100 consecutive cases of acoustic tumor surgery","volume":"110","author":"McElveen","year":"2000"},{"key":"b37-0330016","series-title":"Neurol India","first-page":"257","article-title":"Current treatment strategy in the management of vestibular schwannoma","volume":"57","author":"Misra","year":"2009"},{"key":"b38-0330016","series-title":"Laryngoscope","first-page":"1153","article-title":"Preservation of hearing and facial nerve function in resection of acoustic neuroma","volume":"102","author":"Nadol","year":"1992"},{"key":"b39-0330016","series-title":"Laryngoscope","first-page":"1548","article-title":"Temporal bone histopathology in neurofibromatosis type 2","volume":"121","author":"Nam","year":"2011"},{"key":"b40-0330016","series-title":"Otolaryngol Head Neck Surg","first-page":"11","article-title":"Staged resection of large acoustic neuromas","volume":"132","author":"Patni","year":"2005"},{"key":"b41-0330016","series-title":"Acta Neurochir (Wien)","first-page":"697","article-title":"Microsurgical results with large vestibular schwannomas with preservation of facial and cochlear nerve function as the primary aim","volume":"147","author":"Raftopoulos","year":"2005"},{"key":"b42-0330016","series-title":"J Neurosurg","first-page":"1126","article-title":"Staged resection of large vestibular schwannomas. Clinical article","volume":"116","author":"Raslan","year":"2012"},{"key":"b43-0330016","series-title":"Skull Base","first-page":"85","article-title":"Cranial nerve preservation in surgery for large acoustic neuromas","volume":"14","author":"Roland","year":"2004"},{"key":"b44-0330016","series-title":"J Neurosurg","first-page":"860","article-title":"Functional outcome after complete surgical removal of giant vestibular schwannomas. Clinical article","volume":"112","author":"Samii","year":"2010"},{"key":"b45-0330016","series-title":"Ann Otol Rhinol Laryngol","first-page":"319","article-title":"Enlarged translabyrinthine approach for the management of large and giant acoustic neuromas: a report of 175 consecutive cases","volume":"113","author":"Sanna","year":"2004"},{"key":"b46-0330016","series-title":"World Neurosurg","first-page":"731","article-title":"Surgical removal of giant acoustic neuromas","volume":"77","author":"Silva","year":"2012"},{"key":"b47-0330016","series-title":"J Neurosurg","first-page":"1218","article-title":"Extent of resection and the long-term durability of vestibular schwannoma surgery. 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