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✦ The Dispatch

Efficacy and safety of single-fraction radiosurgery in vestibular schwannoma: a 10-year experience

A dispatch from PubMed — filed

This study aimed to evaluate long-term tumor control, safety, and prognostic factors following single-fraction stereotactic radiosurgery (SRS) for vestibular schwannoma (VS).

Clinical Takeaway

Single-fraction SRS appears to provide durable long-term tumor control for vestibular schwannoma, but this is a retrospective single-centre series; audiologists managing post-SRS patients should continue monitoring hearing and balance outcomes per existing protocols rather than changing referral thresholds based on this study alone.

Why It Matters

Long-term outcome data on single-fraction SRS for vestibular schwannoma are still limited, and a 10-year retrospective experience adds meaningful prognostic information for multidisciplinary teams counselling patients on treatment options.

Key Points
  1. 0110-year retrospective analysis of single-fraction SRS outcomes for vestibular schwannoma.
  2. 02Primary endpoints likely include tumor control rate, hearing preservation, and facial nerve function.
  3. 03Prognostic factors identified may guide patient selection for SRS vs. other management strategies.
  4. 04Retrospective design limits causal inference; no randomised comparator group.
  5. 05Published in Radiation Oncology Journal (2026); indexed on PubMed (PMID 42392687).
Claims & Evidence

Single-fraction stereotactic radiosurgery achieves durable tumor control in vestibular schwannoma over a 10-year follow-up period.

studypartially supported

Single-fraction SRS is safe with acceptable rates of hearing and facial nerve preservation over 10 years.

studypartially supported
Research metadata
PMID
42392687
DOI
10.3857/roj.2026.00094.
Journal
Radiation Oncology Journal
Publication type
research_article
Evidence level
4
Population
Patients with vestibular schwannoma treated with single-fraction stereotactic radiosurgery
Intervention
Single-fraction stereotactic radiosurgery (SRS) for vestibular schwannoma

Primary outcomes

Long-term tumor control rate; Hearing preservation; Facial nerve function preservation

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