Salvage surgery of vestibular schwannoma after failed radiotherapy: The Gruppo Otologico experience and review of the literature

Surgical salvage of recurrent vestibular schwannoma following prior stereotactic radiosurgery

“…Most authors agree that operating on previously radiated VS is more difficult compared to primary treatment . Recognizing the greater risks of VS surgery after radiation, it was recently emphasized that subtotal resection should be considered in cases for which an unfavorable dissection plane exists between the tumor and facial nerve in order to preserve facial nerve integrity .…”

Manejo conservador del schwannoma vestibular

“…Sin embargo, siguen siendo necesarios estudios a largo plazo para confirmar estos resultados, y no exime al paciente de tener que seguir realizándose controles radiológicos periódicos después de radiado 17 . Además, no hay que olvidar las dificultades que para el cirujano puede tener operar un tumor previamente radiado sin control adecuado de su crecimiento, que generalmente empeora los resultados quirúrgicos, especialmente en lo relativo a la función del nervio facial 18,19 , así como los raros casos de transformación maligna de un schwannoma a consecuencia de la radiación 20,21 .…”

How to Address Small- and Medium-Sized Acoustic Neuromas with Hearing: A Systematic Review and Decision Analysis

“…Another treatment to consider is the complete removal of the tumor to obtain a permanent cure. Although radiosurgery leaves some risk of recurrence (18), increases the difficulty in salvage surgery (12) and malignant transformation (30).…”