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Otology/Neurotology

Contemporary Comprehensive Management of Vestibular Schwannomas

Sunday, October 1, 2023
5:00 PM - 6:00 PM East Coast USA Time
Location: Ballroom B1

    Moderator(s)

  • Sarah E. Mowry, MD

    Professor
    University Hospital
    Cleveland, OH, United States

    • Panelist(s)

  • Yuri Agrawal, MD

    Professor
    The Johns Hopkins University School of Medicine
    Lutherville, MD, United States

  • Alejandro Rivas, MD

    Professor
    University Hospitals/Case Western Reserve University, Ohio, United States

  • Maroun T. Semaan, MD

    Professor
    University Hospitals/Case Western University
    Cleveland, OH, United States

Disclosure(s):
Sarah E. Mowry, MD: No relevant relationships to disclose.
Maroun T. Semaan, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: The management options available for vestibular schwannoma (VS) have expanded and a nuanced approach to the decision making pathway is required. Patient factors influencing decision making include hearing status, tumor size and morphology, temporal bone anatomy, patient age and personal preferences. Each of these factors impact on the treatment algorithm and are used to recommend observation, radiosurgery or microsurgery. Each treatment choice is associated with benefits and risks which will be discussed in detail. Radiosurgery has been used for treatment of VS since the 1960s and is an excellent choice for some patients. The rationale and a description of treatment planning will be presented. The open surgical approaches with the risks and benefits will be explored including operative videos. The multidisciplinary team counseling the patient is often guided by their training and experience; the panel consists of members with diverse training and practice backgrounds who will explore differences of opinion on various treatment options. The components and dynamics of a successful skull base team will be discussed as well. Feedback from our prior session will be incorporated to have more time for cased based discussion

OUTCOME OBJECTIVE 1: Utilize a decision making algorithm for VS management

OUTCOME OBJECTIVE 2: Describe 3 surgical approaches to open surgical management of VS

OUTCOME OBJECTIVE 3: List the surgical vs non surgical options for management of VS

BACKGROUND STATEMENT: Comprehensive management of vestibular schwannoma involves nuanced understanding of the factors affecting treatment options. A holistic approach to patient management includes discussion of observation, radiosurgery and microsurgery.