Multidisciplinary practice in vestibular schwannoma surgery over a decade: optimizing facial nerve and hearing outcomes and analyzing the predictive role of tumor-related radiological features

Satisfactory facial nerve (FN) and hearing preservation rates associated with modern vestibular schwannoma (VS) surgery potentially reflect the surgeon's expertise established over years. While advanced MRI can estimate cranial nerve topography and tumor traits, radiological predictors of postoperative functional outcomes across three standard surgical approaches remain unclear....

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Tumor-specific radiological features may help predict facial nerve and hearing preservation outcomes before vestibular schwannoma surgery, which could inform surgical planning and patient counseling — but the specific predictive variables and effect sizes should be reviewed before integrating into practice.

Identifying pre-operative imaging predictors of facial nerve and hearing outcomes could refine patient selection and surgical approach decisions in vestibular schwannoma management.

1. 01Decade-long multidisciplinary cohort study assessing vestibular schwannoma surgical outcomes.
2. 02Focuses on dual primary goals: facial nerve preservation and serviceable hearing retention.
3. 03Tumor radiological features on imaging evaluated as pre-operative predictive factors.
4. 04Multidisciplinary team approach (neurosurgery + otology/neurotology) central to the study design.
5. 05Published in Journal of Neurosurgery, a high-impact peer-reviewed surgical journal.

PMID

42628129

DOI

10.3171/2026.2.JNS251713.

Journal

Journal of Neurosurgery

Publication type

research_article

Evidence level

2b

Population

Patients undergoing vestibular schwannoma surgery over a decade in a multidisciplinary setting

Intervention

Multidisciplinary surgical management of vestibular schwannoma with analysis of tumor radiological features