Staging in Vestibular Schwannoma Surgery: A Modified Technique

Surgical management of vestibular schwannoma: attempted preservation of hearing and facial function

“…7 The introduction of microsurgical techniques and electrophysiological monitoring has improved the anatomical and functional preservation of the facial and vestibulocochlear nerves. 13 The primary goal of vestibular schwannoma surgery has changed from preserving the patient's life to preserving their neurological function. 14 In 1979, Cohen was one of the first to report the outcome of surgery using the retromastoid approach aimed at hearing preservation: 8 per cent facial nerve paralysis and no reported mortality.…”

“…The operative mortality rate for vestibular schwannoma has dropped dramatically, from 40 per cent at the beginning of the last century to less than 1–2 per cent in the past decade 7 . The introduction of microsurgical techniques and electrophysiological monitoring has improved the anatomical and functional preservation of the facial and vestibulocochlear nerves 13 . The primary goal of vestibular schwannoma surgery has changed from preserving the patient's life to preserving their neurological function 14 …”

Staging in giant vestibular schwannoma surgery: A two consecutive day technique for complete resection in basic neurosurgical setups

“…In the literature there are evidence of two-stage resections for giant vestibular schwannomas but in those cases the second operation was either by a different route [9] or after a gap of at least a couple of weeks. [20] Our study is unique in the sense that the second operation was performed on the very next day and complete resection was achieved without adding any morbidity and mortality.…”

“…There are studies with 1-to 2-month interval between the stages. [9] The practice of pre-operative embolization of the tumor and definitive surgery 1 to 2 months later appears to be a viable option, but due to economical and logistical constraints in our set up it is more often than not, practically unfeasible. [10] We present a series of 12 cases of giant vestibular schwannomas which were operated upon in two stages on two consecutive days in a government institute which although a tertiary referral centre for this area does lack advanced neurosurgical equipments like ultrasonic aspirator and nerve monitoring facilities.…”

Polynaphthoxazine-based 1D carbon nano-materials: electrospun fabrication, characterization and electrochemical properties

“…Very recently, a few studies have tried to prepare polybenzoxazine nanofibres by the electrospinning procedure. [34][35][36][37][38][39] When subjected to heat treatment, however, the polymerization of the oxazine ring in the electrospun fibre phase probably led to surface crosslinking and coalescence of neighbouring nanofibres. Therefore, preventing aggregation of individual nanofibers during carbonization is a critical challenge in constructing the morphology of 1D electrospun structures.…”