Association of extent of resection on recurrence-free survival and functional outcome in vestibular schwannoma of the elderly
- Resource Type
- article
- Authors
- Sophie Shih-Yüng Wang; Kathrin Machetanz; Florian Ebner; Georgios Naros; Marcos Tatagiba
- Source
- Frontiers in Oncology, Vol 13 (2023)
- Subject
- acoustic neuroma
neuro-oncology
skull base
geriatric
elderly
vestibular schwannoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
- Language
- English
- ISSN
- 2234-943X
BackgroundDespite the ongoing debate on the risk–benefit ratio of vestibular schwannoma (VS) treatment options, watchful observation and radiation are usually favored in the elderly (>65 years). If surgery is inevitable, a multimodal approach after deliberate subtotal resection has been described as a valid option. The relationship between the extent of resection (EOR) of surgical and functional outcomes and recurrence-free survival (RFS) remains unclear. This present study aims to evaluate the functional outcome and RFS of the elderly in relation to the EOR.MethodsThis matched cohort study analyzed all consecutive elderly VS patients treated at a tertiary referral center since 2005. A separate cohort (