Evolution of techniques for the resection of vestibular schwannomas: From saving life to saving function - Historical vignette

William Akard, R. Shane Tubbs, Zachary A. Seymour, William E. Hitselberger, Aaron Cohen-Gadol

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The current state of surgery for vestibular schwannomas (VSs) is the result of a century of step-by-step technical progress by groundbreaking surgeons who transformed the procedure from its hazardous infancy and high mortality rate to its current state of safety and low morbidity rate. Harvey Cushing advocated bilateral suboc cipital decompression and developed the method of intracapsular tumor enucleation. Walter Dandy supported the unilateral suboccipital approach and developed the technique of gross-total tumor resection. Microsurgical techniques revolutionized VS surgery to its current status. In this article, the authors review the early history of surgery for VSs with an emphasis on contributions from pioneering surgeons. The authors examined the Cushing Brain Tumor Registry for clues regarding the bona fide intention of Cushing for the resection of these tumors.

Original languageEnglish
Pages (from-to)642-647
Number of pages6
JournalJournal of Neurosurgery
Volume110
Issue number4
DOIs
StatePublished - Apr 2009

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Acoustic Neuroma
Neoplasms
Decompression
Brain Neoplasms
Registries
History
Morbidity
Safety
Mortality
Surgeons

Keywords

  • Enucleation
  • History
  • Total resection
  • Vestibular schwannoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Evolution of techniques for the resection of vestibular schwannomas : From saving life to saving function - Historical vignette. / Akard, William; Tubbs, R. Shane; Seymour, Zachary A.; Hitselberger, William E.; Cohen-Gadol, Aaron.

In: Journal of Neurosurgery, Vol. 110, No. 4, 04.2009, p. 642-647.

Research output: Contribution to journalArticle

Akard, William ; Tubbs, R. Shane ; Seymour, Zachary A. ; Hitselberger, William E. ; Cohen-Gadol, Aaron. / Evolution of techniques for the resection of vestibular schwannomas : From saving life to saving function - Historical vignette. In: Journal of Neurosurgery. 2009 ; Vol. 110, No. 4. pp. 642-647.
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