Long-Term Outcomes of Subtotal Resection for Large Vestibular Schwannomas: Results From the Acoustic Neuroma Subtotal Resection Study-Part III Perioperative Measures and Complications

AND OBJECTIVES: Management of large vestibular schwannomas (VS) increasingly includes partial resection strategies, yet the impact of extent of resection on perioperative and long-term symptom outcomes remains unclear. This study evaluates how the extent of resection influences perioperative measures, complications, and balance performance.

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No direct change to audiological practice is indicated, but audiologists should understand that subtotal resection carries a defined perioperative complication profile, which informs pre-operative counseling conversations with patients referred for surgical management.

Comprehensive perioperative complication data for subtotal resection strategies fill a critical evidence gap, helping surgical and multidisciplinary teams weigh risks when choosing between total and subtotal resection for large vestibular schwannomas.

1. 01Part III of the Acoustic Neuroma Subtotal Resection Study focuses on perioperative safety and complication rates.
2. 02Published in Neurosurgery (PMID 42714146) as a peer-reviewed longitudinal study.
3. 03Perioperative measures such as operative time, blood loss, and hospital stay are systematically reported.
4. 04Complication data provide a realistic risk profile to support shared decision-making with patients.
5. 05Read alongside Parts I and II, this paper completes a comprehensive picture of subtotal resection outcomes.

PMID

42714146

DOI

10.1227/neu.0000000000004201.

Journal

Neurosurgery

Publication type

research_article

Evidence level

2b

Population

Patients undergoing subtotal resection for large vestibular schwannomas

Intervention

Subtotal resection of large vestibular schwannomas