{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T23:00:42Z","timestamp":1765666842969},"reference-count":15,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1991,3]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Historically, the neurosurgical treatment of large acoustic neurinomas has developed with two principal goals: complete tumor removal and preservation of facial nerve function. A recent goal for small tumors is the preservation of hearing. Out of a personal series of 124 acoustic neurinomas treated over the past 35 years, the senior author has undertaken a radical intracapsular approach in 12 patients with large tumors (&gt; 3 cm in diameter). Surgical indications for intracapsular removal included advanced age (five cases), the patient's wish to avoid any risk of facial paralysis (six cases), contralateral facial palsy (one case), and contralateral deafness (one case).<\/jats:p>\n<jats:p content-type=\"fine-print\">Eleven of these 12 patients were available for follow-up review. Tumor recurrence developed in two patients (18%) at 2 and 3 years postoperatively; there were no late recurrences. Four patients died of unrelated causes, 10 to 19 years after surgery. The remaining five patients have survived a mean of 12 years since surgery without recurrence (range 3 to 22 years). Facial function was preserved in nine patients (82%). The results suggest that radical intracapsular removal may be the procedure of choice under certain circumstances and may offer an alternative to focused high-energy radiation.<\/jats:p>","DOI":"10.3171\/jns.1991.74.3.0422","type":"journal-article","created":{"date-parts":[[2009,5,19]],"date-time":"2009-05-19T16:16:04Z","timestamp":1242749764000},"page":"422-425","source":"Crossref","is-referenced-by-count":62,"title":["Radical intracapsular removal of acoustic neurinomas"],"prefix":"10.3171","volume":"74","author":[{"given":"Stephen P.","family":"Lownie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles G.","family":"Drake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Tumors of the Nervus Acusticus.","author":"Cushing","year":"1917"},{"key":"b2","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1001\/archsurg.1941.01210120061006","article-title":"Results of removal of acoustic tumors by the unilateral approach.","volume":"42","author":"Dandy","year":"1941"},{"key":"b3","series-title":"Arch Otolaryngol","first-page":"467","article-title":"Discussion of House WF: Middle cranial fossa approach to the petrous pyramid.","volume":"78","author":"Dott","year":"1963"},{"key":"b4","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"396","DOI":"10.3171\/jns.1949.6.5.0396","article-title":"Surgical experience with acoustic tumors.","volume":"6","author":"Givr\u00e9","year":"1949"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3171\/jns.1985.63.2.0175","article-title":"Management of acoustic neuromas, 1978\u20131983.","volume":"63","author":"Harner","year":"1985"},{"key":"b6","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1136\/jnnp.13.4.268","article-title":"A comparison of results after intracapsular enucleation and total extirpation of acoustic tumors.","volume":"13","author":"Horrax","year":"1950"},{"key":"b7","series-title":"Clin Neurosurg","first-page":"214","article-title":"The neuro-otologist's view of the surgical management of acoustic neuromas.","volume":"32","author":"House","year":"1985"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"210","DOI":"10.3171\/jns.1980.52.2.0210","article-title":"Translabyrinthine and transtentorial removal of acoustic nerve tumors. Results in 150 cases.","volume":"52","author":"King","year":"1980"},{"key":"b9","series-title":"Clin Neurosurg","first-page":"21","article-title":"Acoustic neuroma.","volume":"2","author":"McKenzie","year":"1955"},{"key":"b10","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1136\/jnnp.13.4.271","article-title":"Analysis of results of complete and partial removal of acoustic neuromas.","volume":"13","author":"Olivecrona","year":"1950"},{"key":"b11","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"272","DOI":"10.1136\/jnnp.13.4.272","article-title":"Results in 130 cases of acoustic neurinoma.","volume":"13","author":"Pennybacker","year":"1950"},{"key":"b12","series-title":"Bull LA Neurol Soc","first-page":"17","article-title":"Microneurosurgical resection of acoustic tumors by a transmeatal posterior fossa approach.","volume":"30","author":"Rand","year":"1965"},{"key":"b13","series-title":"Clin Neurosurg","first-page":"242","article-title":"Management of seventh and eighth nerve involvement by cerebellopontine angle tumors.","volume":"32","author":"Samii","year":"1985"},{"key":"b14","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1177\/019459988509300204","article-title":"Preoperative and postoperative growth rates in acoustic neuromas documented with CT scanning.","volume":"93","author":"Wazen","year":"1985"},{"key":"b15","series-title":"Adv Tech Stand Neurosurg","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/978-3-7091-7073-1_5","article-title":"Microsurgical approach to acoustic neurinomas.","volume":"4","author":"Ya\u015fargil","year":"1977"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/74\/3\/article-p422.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/74\/3\/article-p422.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/74\/3\/article-p422.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T20:26:15Z","timestamp":1679862375000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/74\/3\/article-p422.xml"}},"subtitle":["Long-term follow-up review of 11 patients"],"short-title":[],"issued":{"date-parts":[[1991,3]]},"references-count":15,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.1991.74.3.0422","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1991,3]]}}}