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Brazilian Society of Otology task force - Vestibular Schwannoma - evaluation and treatment

Vagner Antonio Rodrigues Silva a,b, Joel Lavinsky b,c, Henrique Furlan Pauna d, Melissa Ferreira Vianna b,e, Vanessa Mazanek Santos f , Cláudio Márcio Yudi Ikino g, André Luiz Lopes Sampaio b,h, Paula Tardim Lopes i , Pauliana Lamounier j , André Souza de Albuquerque Maranhão k, Vitor Yamashiro Rocha Soares l , José Fernando Polanski f,m, Mariana Moreira de Castro Denaro n, Carlos Takahiro Chone a, Ricardo Ferreira Bento i , Arthur Menino Castilho




Abstract 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. © 2023 Associac¸ao˜ Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. ´ Published by Elsevier Espana, ˜ S.L.U. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).



Brazilian Society of Otology task force - Vestibular Schwannoma - evaluation and treatmen
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