Management of Vestibular Schwannoma (Including NF2): Facial Nerve Considerations

Otolaryngol Clin North Am. 2018 Dec;51(6):1193-1212. doi: 10.1016/j.otc.2018.07.015.


Current consensus on optimal treatment of vestibular schwannoma remains poorly established; treatment options include observation, stereotactic radiosurgery, microsurgical resection, medical therapy, or a combination of these. Treatment should be individualized and incorporate the multitude of patient- and tumor-specific characteristics known to affect outcome. Treatment paradigms for sporadic and neurofibromatosis type 2-related tumors are distinct and decision-making in neurofibromatosis type 2 is uniquely challenging. In all cases, treatment should maximize tumor control and minimize functional deficit.

Keywords: Facial nerve; Facial paralysis; Intraoperative monitoring; Management; Vestibular schwannoma.

Publication types

  • Review

MeSH terms

  • Facial Nerve / surgery*
  • Hearing Loss / etiology
  • Humans
  • Microsurgery
  • Neuroma, Acoustic / physiopathology
  • Neuroma, Acoustic / therapy*
  • Plastic Surgery Procedures / methods*
  • Radiosurgery
  • Treatment Outcome