With changing practice patterns, radiation therapy for vestibular schwannomas has become an increasingly utilized treatment modality with high tumor control rates. Gamma-Knife radiosurgery remains a well-established and readily accessible option with good rates for tumor control, cranial nerve preservation, and hearing outcomes....
✦ The floor
Discussion
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Audiologists counseling patients with vestibular schwannoma should be aware that the comparative effectiveness of proton therapy versus Gamma Knife is under active investigation; refer to neuro-otology or neurosurgery for treatment decisions until clearer evidence emerges.
With radiation treatment for vestibular schwannoma expanding in use, comparative evidence on tumor control between modalities is critical to guide patient counseling and multidisciplinary referral decisions.
- 01Study directly compares proton therapy and Gamma Knife radiosurgery for sporadic vestibular schwannoma.
- 02Tumor control rate is the central outcome measure evaluated.
- 03Radiation treatment patterns for vestibular schwannoma are still evolving, making comparative data timely.
- 04Published in The Laryngoscope.
- 05Results inform neuro-otology and radiation oncology referral discussions but do not change audiology practice directly.
Proton therapy and Gamma Knife radiosurgery differ in tumor control rates for sporadic vestibular schwannoma.
studyunclear- PMID
- 42554094
- DOI
- 10.1002/lary.70764.
- Journal
- The Laryngoscope
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Patients with sporadic vestibular schwannoma receiving radiation treatment
- Intervention
- Proton therapy
- Comparator
- Gamma Knife radiosurgery
Primary outcomes
Tumor control rate; Radiation therapy practice pattern comparison