Age considerations in acoustic neuroma surgery: The horns of a dilemma

R. J. Wiet, Nancy M Young, E. M. Monsell, C. A. O'Connor, R. Kazan

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Experience has shown that early removal of acoustic tumors results in less morbidity because the rate of surgical complications increases with tumor size. Nevertheless, acoustic tumors are benign and grow slowly - facts that support conservatism in elderly patients. We managed 21 patients with acoustic tumors over the age of 65. Eleven patients underwent immediate surgical excision. Ten patients were monitored clinically and with serial magnetic resonance imaging (MRI) or computed tomographic (CT) scans. To date, two of these patients have required surgical excision because of continued tumor growth. Our experience managing these patients both surgically and with 'watchful waiting' is the subject of this report.

Original languageEnglish (US)
Pages (from-to)177-180
Number of pages4
JournalAmerican Journal of Otology
Volume10
Issue number3
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Otorhinolaryngology

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