(Neurilemmoma; Vestibular Schwannoma)
|The Acoustic Nerve|
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- Careful monitoring
- Radiation therapy
- Microsurgical removal
Reasons for Procedure
- Tumor is growing
- Concern that tumor size may become life-threatening
- Tumor is causing hearing problems
- Hearing loss
- Excessive eye dryness
- Difficulty with balance
- Ringing in your ears known as tinnitus
- Facial weakness and numbness on the side of the tumor
- Leakage of cerebrospinal fluid (CSF)
- Increased age
- Size of the tumor
What to Expect
Prior to Procedure
- Steroids—usually started 48 hours before surgery
- Antibiotic—given by IV right before surgery
- Anti-inflammatory medication
- Blood thinners
- Anti-platelet medication
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Head discomfort
- Fatigue and sleepiness
- Emotional lows
- Keep the incision area clean and dry.
- Do not drive until your doctor allows it.
- Ask your doctor when you will be able to return to work.
- Ask your doctor when it is safe for you to shower, bathe, or soak in water.
- Take medicines as instructed.
Call Your Doctor
- Signs of infection, including fever, chills, and neck stiffness
- Worsening headache
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medications you were given after surgery or that persists for more than two days after discharge from the hospital
- Pain that you cannot control with the medications you have been given
- Cough, shortness of breath, or chest pain
- Stiff neck
- Runny nose
Acoustic Neuroma Association http://www.anausa.org
American Academy of Audiology http://www.audiology.org
Canadian Academy of Audiology http://www.canadianaudiology.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Acoustic neuroma. American Hearing Research Foundation. Available at: http://american-hearing.org/disorders/acoustic-neuroma . Accessed June 25, 2013.
Acoustic neuroma. Vestibular Disorders Association. Available at: http://vestibular.org/acoustic-neuroma . Accessed June 25, 2013.
Bennett M, Haynes DS. Surgical approaches and complications in the removal of vestibular schwannomas. Otolaryngol Clin North Am . 2007;40(3):589-609.
Vestibular schwannoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated June 19, 2013. Accessed June 25, 2013.
What is acoustic neuroma? Acoustic Neuroma Association website. Available at: http://www.anausa.org/index.php/overview/what-is-acoustic-neuroma . Accessed June 25, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Marcin Chwistek, MD; Michael Woods, MD
- Review Date: 06/2013 -
- Update Date: 05/11/2013 -