Vestibular schwannomas are benign cerebellopontine angle tumours for which surgical management has evolved toward preservation of neurological function and quality of life. The retrosigmoid approach remains a commonly used corridor, traditionally performed with the operating microscope....
No immediate change to surgical practice is indicated from this single comparative study alone; surgeons and multidisciplinary teams should weigh its findings alongside existing evidence when selecting endoscopic versus microscopic retrosigmoid approaches for vestibular schwannoma.
As endoscopic skull-base surgery continues to grow, comparative outcome data for vestibular schwannoma resection can guide neurotologists and neurosurgeons in optimizing nerve preservation and patient quality of life.
- 01Compared endoscopic and microscopic retrosigmoid approaches for vestibular schwannoma removal.
- 02Primary focus was on facial nerve function preservation and post-operative quality of life.
- 03Endoscopic techniques offer improved visualization of hidden tumor extensions in some cases.
- 04Study published in the Journal of the Pakistan Medical Association (JPMA).
- 05Results contribute to the growing literature on minimally invasive skull-base surgery outcomes.
Endoscopic retrosigmoid approach is comparable or superior to microscopic approach in preserving neurological function during vestibular schwannoma resection.
studyunclearQuality of life outcomes differ between endoscopic and microscopic surgical approaches for vestibular schwannoma.
studyunclear- PMID
- 42444239
- DOI
- 10.47391/JPMA.26-57.
- Journal
- Journal of the Pakistan Medical Association
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Adults undergoing surgical resection for vestibular schwannoma
- Intervention
- Endoscopic retrosigmoid approach for vestibular schwannoma resection
- Comparator
- Microscopic retrosigmoid approach
Primary outcomes
Neurological function preservation (facial nerve function); Quality of life post-operatively