gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

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Learning curve in acoustic neuroma surgery

Meeting Abstract

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  • corresponding author Nikolaos Marangos - Center ORL, head & neck and skull base surgery, Athens, Greece
  • author Anna Papadopoulou - Center ORL, head & neck and skull base surgery, Athens, Greece
  • Konstantina Karra - Center ORL, head & neck and skull base surgery, Athens, Greece
  • Apostolos Papadopoulos - Center ORL, head & neck and skull base surgery, Athens, Greece

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno89

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno89.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Marangos et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

Text

Consultation of subjects with acoustic neuroma regarding outcome and risk for facial palcy should be based on hard evidence. Tumor size is known as an important prognostic factor. In this study we evaluate the influence of surgeon’s experience.

All 133 acoustic neuromas removed by our senior surgeon are included in the study, 75 via a translabyrinthine and 58 via a middle fossa approach. Function of the facial nerve has been evaluated immediately after surgery as well as one year after using the House-Brackmann classification. The results of the first 50% of the tumors were compared to those of the last 50% for each approach. A clear and significantly better outcome could be achieved in the chronologically last 50% of the surgeries demonstrating that increasing surgeon’s experience reduces the risk for facial palsy and dramatically improves outcome.