Brazilian journal of otorhinolaryngology · 2023
Brazilian Society of Otology task force - Vestibular Schwannoma ‒ evaluation and treatment.
СтатьяОбзорКлинические рекомендацииНазвание и аннотация: Перевод пока не подготовлен
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Silva Vagner Antonio Rodrigues, Lavinsky Joel, Pauna Henrique Furlan, Vianna Melissa Ferreira, Santos Vanessa Mazanek, Ikino Cláudio Márcio Yudi, Sampaio André Luiz Lopes, Tardim Lopes Paula, Lamounier Pauliana, Maranhão André Souza de Albuquerque, Soares Vitor Yamashiro Rocha, Polanski José Fernando, Denaro Mariana Moreira de Castro, Chone Carlos Takahiro, Bento Ricardo Ferreira, Castilho Arthur Menino
Аннотация
OBJECTIVE: To review the literature on the diagnosis and treatment of vestibular schwannoma.
METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on vestibular schwannoma were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions.
RESULTS: The topics were divided into 2 parts: (1) Diagnosis - audiologic, electrophysiologic tests, and imaging; (2) Treatment - wait and scan protocols, surgery, radiosurgery/radiotherapy, and systemic therapy.
CONCLUSIONS: Decision making in VS treatment has become more challenging. MRI can diagnose increasingly smaller tumors, which has disastrous consequences for the patients and their families. It is important to develop an individualized approach for each case, which highly depends on the experience of each surgical team.
METHODS: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on vestibular schwannoma were eligible for inclusion. The American College of Physicians' guideline grading system and the American Thyroid Association's guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions.
RESULTS: The topics were divided into 2 parts: (1) Diagnosis - audiologic, electrophysiologic tests, and imaging; (2) Treatment - wait and scan protocols, surgery, radiosurgery/radiotherapy, and systemic therapy.
CONCLUSIONS: Decision making in VS treatment has become more challenging. MRI can diagnose increasingly smaller tumors, which has disastrous consequences for the patients and their families. It is important to develop an individualized approach for each case, which highly depends on the experience of each surgical team.