Calidad de vida tras la cirugía del schwannoma vestibular

Alfonso, Carolina; Lassaletta, Luis; Sarriá, Josefa; Gavilán, Javiér

doi:10.1016/s0001-6519(07)74881-1

Cited by 12 publications

(1 citation statement)

References 73 publications

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“…Sin embargo, estudios realizados en otros procedimientos otorrinolaringológicos, como la amigdalectomía, muestran resultados diferentes de calidad de vida en cuanto al beneficio por subescalas del GBI, obteniendo los mejores resultados en el aspecto físico, en contraposición del beneficio general y social del procedimiento [17,18], debido a que el objetivo que se pretende alcanzar en este caso sí que es una mejora en la sintomatología física del individuo. Los estudios realizados en calidad de vida en pacientes sometidos a cirugía de schwannoma vestibular muestran datos totalmente opuestos, demostrando en la mayoría de los pacientes un deterioro en su calidad de vida [19], esto puede ser debido a que los síntomas iniciales de esta patología suelen ser leves y, sin embargo, las secuelas postquirúrgicas pueden ser muy invalidantes. Los datos obtenidos en nuestro estudio sobre la calidad de vida son comparables a los de otros estudios previos en cuanto a beneficio general del implante osteointegrado, con la limitación del escaso número de pacientes de nuestra serie.…”

Section: Discussionunclassified

Resultado funcional y social de los implantes auditivos osteointegrados

Moreno-Alarcón

Belinchón-Diego

2017

Rev. ORL

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Section: Discussionunclassified

Resultado funcional y social de los implantes auditivos osteointegrados

Moreno-Alarcón

Belinchón-Diego

2017

Rev. ORL

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Quality of life in postoperative vestibular schwannoma patients

et al. 2009

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Results indicate that patients following vestibular schwannoma surgery reported near equivalent QOL as the healthy population. Advances in surgical techniques and experiences have minimized morbidities associated with vestibular schwannoma surgery. Significant physical role limitation encountered postoperatively may relate to facial nerve dysfunction, vestibular dysfunction, tinnitus or hearing loss that may persist after surgery. Careful patient selection, as well as, appropriate preoperative counselling, multidisciplinary follow-up and rehabilitation should be offered to all surgical candidates. A measured approach should still be considered for patients with small, slow growing tumors with minimal symptoms.

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Management of growing vestibular schwannomas

Ferri

Pirodda

Ceroni

et al. 2012

Eur Arch Otorhinolaryngol

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Conservative management of small vestibular schwannomas is frequently proposed as most tumours do not grow. Anyway, tumour growth is reported in 30-40 % of the cases, so that surgery is consequently generally proposed. We primarily observed 161 patients affected by unilateral vestibular schwannomas. All patients were examined by means of gadolinium-enhanced magnetic resonance imaging scans. Tumour growth was recorded in 58 cases (35.8 %) and these subjects set up the group of study. Twenty-two (37.9 %) patients were surgically treated; tumour was always completely removed, all patients had normal facial function after surgery and only one patient suffered from a major complication (cerebellar haematoma). Fourteen patients (24.1 %) were submitted to radiotherapy, while one patient was lost at follow-up and another one died because of other medical reasons. Finally, 20 (34.5 %) subjects continued to be observed for different reasons. The mean follow-up period after identification of growth was 6.1 years. Nine tumours continued to grow, nine tumours stopped growing, one tumour grew and then regressed in size and one tumour decreased. Sixty percent of patients with useful hearing at diagnosis preserved it during the entire observation period. In conclusion, most of VS do not grow; in case of tumour growth, a surgical procedure may be suggested and the outcomes are not negatively influenced by the delay of the procedure. But in some cases, patients can still follow the "wait and scan" policy. In fact, only less than half of the growing tumours continued to grow. Moreover, most of the patients continued to retain a useful hearing.

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Calidad de vida tras la cirugía del schwannoma vestibular

Cited by 12 publications

References 73 publications

Resultado funcional y social de los implantes auditivos osteointegrados

Resultado funcional y social de los implantes auditivos osteointegrados

Quality of life in postoperative vestibular schwannoma patients

Management of growing vestibular schwannomas

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