Monday, April 15, 2024

Best Hospitals For Acoustic Neuroma Surgery

Minimally Invasive Ear Surgery Removes Tumors

Treating Acoustic Neuromas at Penn Medicine

Lloyd Griffith relished hearing the rumble of cars until the day a tumor in his ear caused his hearing to go from garbled to silent. Today his hearing is much improved, thanks to a pioneering minimally invasive procedure at UT Southwestern one of the highest-volume acoustic neuroma programs in Texas.

Frequently Asked Questions About Acoustic Neuroma

An acoustic neuroma is a benign tumor near the brain, growing outside the brain on the cranial nerve. They can grow large enough to press against the brain.

Placenta Increta and Percreta

Placenta increta and placenta percreta are similar to placenta accreta, but more severe.

  • Placenta increta is a condition where the placenta attaches more firmly to the uterus and becomes embedded in the organs muscle wall.
  • Placenta percreta is a condition where placenta attaches itself and grows through the uterus and potentially to the nearby organs .

Obstetricians seek to make a specific diagnosis of accreta, increta or percreta before delivery using ultrasound and MRI imaging, but this is not always possible.

Acoustic neuroma treatment depends on the size and growth speed of the acoustic neuroma, severity of the patient’s symptoms and overall age and health of the patient. Doctors may choose to monitor the acoustic neuroma if the patient isn’t a good candidate for surgery because of other conditions. Surgeries and radiation therapy are other key treatment options.

During a normal delivery, the placenta detaches from the uterus during the last stage of labor. This can also be referred to as the afterbirth. With accreta, the placenta is tightly attached to the uterine wall and does not separate naturally during delivery. This causes several complications for the baby and mother.

How Are Acoustic Neuromas Treated

With many factors considered in determining treatment, acoustic neuromas are managed with close follow-up, radiation, or surgery. At Yale Medicine, the patient’s symptoms, tumor size, age and overall health, and medical condition are considered in making treatment decisions.

In relatively young and healthy patients with symptomatic and relatively large neuromas, surgery is usually the best option. Unlike other types of primary brain tumors, these acoustic neuromas always occur in the same location. To reach the tumor, neurosurgeons will often operate in collaboration with a highly skilled and specialized ear, nose, and throat surgeon. Surgery is performed with specialized neuromonitoring, whereby neurophysiologists in the operating room monitor the function of the CNs during surgery while the patient is asleep. This allows the surgeon to remove as much tumor as safely as possible, ensuring the best facial function long-term.

For smaller neuromas, treatment may involve open surgery, close monitoring with serial MRIs, or Gamma Knife radiosurgery, which uses very focused radiation to target and kill the tumors cells to impede its growth.

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Why Choose Acoustic Neuroma Care At Vanderbilt

  • Experience and recognized care

    Our doctors are skilled specialists with a combined 40 years of experience in skull base surgery for acoustic neuromas. We are an Acoustic Neuroma Association Center of Excellence under the Acoustic Neuroma Association and one of the few acoustic neuroma treatment centers in the U.S.

  • Personalized care

    We tailor each surgery to meet your unique needs and ensure that you receive the best possible care. We are highly experienced in the various approaches for skull base tumors.

  • Neurocritical care unit

    We provide 35 private neurocritical care rooms, equipped with advanced technology and safety measures. This means you and your family receive neurointensive care of the highest quality.

  • Team approach

    Doctors from multiple specialties are brought into your treatment team when needed. These might include ENTs, physical therapists, oncologists, radiologists and others. Our multi-specialty surgery team consists of a skull base neurosurgeon, neurotologist, neuroanesthesia specialist and if needed a head and neck surgeon.

  • Patient care coordinators

    Our patient care coordinators guide you through your care plan. They can help you schedule appointments, gather medical records, address concerns and coordinate your care among all the specialists involved in your treatment.

What Makes Yale Medicines Approach To Treating Acoustic Neuromas Unique

Surgical Removal of Acoustic Neuromas: What the Patients Need to Know ...

Acoustic neuromas can be challenging to treat, so surgical removal should only be done by physicians with substantial clinical experience and expertise. At Yale Medicine, we bring together a highly experienced, multidisciplinary team of doctors who treat the whole patientnot just the acoustic neuroma.

If the patient is a good candidate for surgery, we are able to access the location of the neuromas via a few different pathwaysthrough the inner ear or the skulland explain the pros and cons of each approach to the patient. We perform every surgery with state-of-the-art monitoring capabilities, allowing us to ensure the function of the CNs are preserved in the long-term.

Often, our surgeons will opt to leave a small amount of tumor on the facial nerve to ensure facial function is maintained. This very small area can be followed or receive very focused radiation, if necessary. In some cases, surgery can be avoided entirely and Gamma Knife radiosurgery can be the first line for treatment of these tumors.

Our team and its unparalleled expertise and access to state-of-the-art facilities, both in and out of the operating room, allow us to provide the best, most comprehensive care for each patient,” says Dr. Moliterno. “Management of acoustic neuromas should be done only by experts who do so on a daily basis, and we are pleased to take care of many patients with acoustic neuromas.

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When To Schedule An Appointment

Many patients with acoustic neuroma are initially treated with radiation when they should instead be watched. Others are given radiation for tumors that are too large for the therapy to be effective, and the tumors continue to grow.

In both cases, surgery to remove the tumor becomes more challenging, and the results are not as good.

That’s why it’s important to consult with an acoustic neuroma specialist to learn about all of your options before you start any type of treatment. Because our team offers every available treatment option for acoustic neuroma, we can help you get the appropriate treatment at the right time.

We encourage you to schedule a consultation with us:

  • If you have been newly diagnosed with an acoustic neuroma
  • If you need follow-up care after initial treatment
  • If your tumor is growing after prior radiation therapy
  • If you’re seeking a second opinion about either your diagnosis or treatment options, especially before you decide on a treatment

What We Offer You For

  • Internationally recognized expertise, with expert neurosurgeons and otolaryngologists using the latest surgical techniques to remove tumors while preserving your hearing, balance, and facial nerve function.
  • Precise diagnostics using the most advanced MRI technology to detect the smallest tumors and confirm the location of critical structures to avoid during surgery.
  • Individualized treatment plans developed by our team of radiation oncologists, neurosurgeons, and otolaryngologists considering a full range of treatment options, which you and your doctors discuss to determine the best approach for you.
  • Precise surgical planning including weekly Tumor Board meetings that bring together Stanford specialists from multiple related medical fields and advanced MRI, both of which help us plan your treatment.
  • Mid-surgery monitoring using the latest microscopes and real-time monitoring of the brain and nerves during surgery to avoid the cranial nerves that control facial sensation and movement.
  • Supportive care delivered by a team of nurses, social workers, and case managers to help you get back to living your life, psychological support services, and an acoustic neuroma support group to help you focus on health and healing.
  • Leading research to improve acoustic neuroma treatment, such as using surgery to remove as much of the tumor as possible followed by using CyberKnife radiation therapy to destroy the rest or monitoring the tumor for growth.

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What Is A Vestibular Schwannoma

A vestibular schwannoma is a benign, non-cancerous growth that develops on the hearing and balance nerve. This nerve connects the ear and the brain.

Acoustic neuromas grow very slowly, averaging about 1.5 millimeters per year. Several studies have demonstrated that more than half of all acoustic neuromas show little or no growth over a long period of time of observation . No environmental or dietary factors are known to influence the growth rate of acoustic neuromas.

The Ucla Acoustic Neuroma Program

Loyola Medicine otolaryngologist and neurosurgeon team up to treat acoustic neuromas

The Mission:The UCLA Acoustic Neuroma Program at the Ronald Reagan UCLA Medical Center is a multi-disciplinary team of experts in their respective fields collaborating to provide exceptional care for patients with acoustic neuroma.

Our Team of Specialists:

We provide comprehensive evaluation, diagnostic testing, and a wide range of treatment options. Our skull base surgeons are specialized in the management of acoustic neuroma and utilize the most advanced treatment technologies to provide the safest and most effective care.

Insight gained through research has advanced our understanding of the biological mechanisms underlying acoustic neuroma development, growth, and recurrence. We strive to continually refine our treatment of acoustic neuroma through incorporating the newest scientific findings and technologies into our practice. Our mission is to provide comprehensive and personalized state-of-the-art care for patients with acoustic neuroma.

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Post Surgical Period Of The Acoustic Neuroma

After removal of the neuroma, the patient remains in the hospital for several days under medical supervision. After 3-5 days, the person is discharged. In the postoperative period, it is important to regularly consult with doctor and undergo examinations. This is due to the risk of complications, especially when removing large neurinomas. The main complications after surgery are:

  • Hearing loss. Occurs in cases using trans-labyrinth approach. Partial or complete deafness may occur with other types of surgery, it depends on where the tumor is localized. Hearing loss can be restored with a cochlear implant or hearing aid installation
  • Problems with the vestibular apparatus. In the postoperative period, patients may experience dizziness, nausea. After a month, these symptoms disappear, and only rarely do they last forever
  • Facial nerve palsy. This complication occurs if the surgeon damages the facial nerve. To avoid this, you should carefully consider the choice of hospital and doctor
  • Tinnitus. After removal of the neuroma, every 5th patient feels ringing in the ears. In 50% of people it passes after a week, the rest can have throughout life.

What To Expect With Acoustic Neuroma Surgery

Surgery to remove an acoustic neuroma is performed with general anesthesia. Depending on the location of the tumor and its size, a neurosurgeon and a neurotologist will surgically remove the tumor through a small opening in the skull behind the ear.

Loyolas otologic and neurosurgeons perform the most acoustic neuroma surgeries in the Chicago area. Our highly experienced team has performed more than 3,000 combined surgeries with low morbidity, shortened hospital stays, few complications and high-long term survival and cure rates.

If removing the entire tumor is not possible, the remaining portion can be radiographically monitored or rarely treated with radiation therapy if the tumor shows growth.

After surgery, you will stay in the hospital for 3 – 5 days, and should expect to be fully recovered within 4 – 8 weeks.

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Acoustic Neuroma Cranial Base Surgery

Ear, Nose and Throat

Cancerous and non-cancerous tumors can grow in the skull base the underside of the brain, close to the ear and the upper part of the spinal column. These tumors can be challenging to diagnose and, because of their location, surgical removal requires expert technical skill.

At the Weill Cornell Medicine Department of Otolaryngology – Head and Neck Surgery, our head and neck surgeons are nationally recognized as leaders in helping patients who need complicated or complex treatment, including cranial base surgery. By tailoring treatment to each persons specific condition, medical history and lifestyle goals, we achieve outstanding results. Our patients value our compassionate and personalized approach to treatment and long-term care.

We know that skull base tumors and the cranial base surgery process can significantly impact your life. Our top priority is helping you achieve the highest quality of life and optimum health. We help patients from around the world by diagnosing the disorder accurately, customizing treatment for the specific condition and lifestyle goals, ensuring the surgical process is as comfortable as possible and helping each patient live fully after surgery.

Two Loyola Surgeons Team Up To Remove 1500 Acoustic Neuromas

Acoustic Neuroma

MAYWOOD, IL In one of the nations longest and most successful surgical partnerships, Loyola Medicine otologic surgeon John Leonetti, MD, and neurosurgeon Douglas Anderson, MD, have worked together to remove 1,500 acoustic neuromas during the past three decades.

An acoustic neuroma, also known as a vestibular schwannoma, is rare, occurring in about one in 100,000 people per year. It is located in the inner ear and grows inward toward the brain. Its slow-growing and usually benign. The tumor can cause hearing loss and ringing in the ear in one ear and numbness on one side of the face. If the tumor grows large enough, it can be fatal.

Loyola Medicine’s Center for Cranial Base Surgery is one of the nation’s leading centers in treating acoustic neuromas. The center sees three to four new patients per week and Drs. Anderson and Leonetti jointly perform about 70 acoustic neuroma operations per year.

Removing an acoustic neuroma requires careful planning and delicate surgery. Dr. Leonetti gains access to the tumor and identifies the nerves that must be saved. He then removes the portion of the tumor that lies within the inner ear cylinder. Dr. Anderson removes the portion of the tumor that lies next to the brain.

“This gives us, the surgeons, the best chance and a unique opportunity to save hearing in more patients,” Dr. Leonetti said.

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Are You A Comprehensive Center That Provides All Three Forms Of Tumor Management And All Three Surgical Approaches

Dealing with an acoustic neuroma is such a delicate situation for otherwise healthy individuals. The reason you want to work with a comprehensive acoustic neuroma center is because they are able to address all aspects of your experience from the very beginning to well beyond treatment. At our center, we take the time to understand each individual situation and provide the treatment option that is best suited for the individual whether it be watch and wait, radiation or microsurgery. If surgery is indicated, we are able to expertly perform all three surgical approaches: middle fossa, retrosigmoid and translabyrinthine.

With a comprehensive center, you dont just get access to surgeons: you get access to physical therapists, neuro-intensivists, neuro-anesthesiologists, neurologists, ophthalmologists, ICU nurses, physical therapists and audiologists with a high level of experience in understanding and treating the unique needs of acoustic neuroma patients.

Best Acoustic Neuroma And Acoustic Neurilemmoma Doctors Inchicago Il

We found 601doctors who treat Acoustic Neuroma in Chicago.

Browse through a selection of 601 Doctors who treat Acoustic Neuroma around Chicago, IL. Doctors who treat Acoustic Neuroma in this region have an average rating of 4.1 stars. Below are some of the best options around Chicago. The providers below have at least 12 or more past patient ratings, so you can be confident that these providers have the experience that you are looking for.

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Success Rates For Acoustic Neuroma Surgery In The Tristate Area

When evaluating the success of acoustic neuroma surgery, you should consider the frequency of negative side effects. A known risk of acoustic neuroma surgery is damage to the facial nerve, an important nerve of the head and neck, which is responsible for the control of some facial muscles and your sense of taste, among other functions.

If you find this concerning, you may be interested to know that a study published in The Journal of Neurosurgery evaluated the outcomes of nearly 400 acoustic neuroma patients of a New Jersey neurosurgeon using minimally invasive microsurgical techniques to remove either all or part of acoustic neuroma tumors. In over 96 percent of these cases, facial nerve preservation was rated as excellent and only 13 percent of patients required retreatment using stereotactic radiosurgery, demonstrating the effectiveness and safety of the procedure.

What Is Surgery For Acoustic Neuroma Like

Is Surgery Performed on an Inpatient Basis for Acoustic Neuroma?

Acoustic neuroma surgery may be recommended based on the size and progression of the acoustic neuroma, the symptoms associated with the tumor and the overall health of the patient.

The advantages of the surgical removal of acoustic neuromas are twofold. The first benefit to surgery is pathologic diagnosis. By removing the tumor, neuropathologists can examine and conduct genetic tests on the tumor tissue to determine the variant of the tumor and learn more about its origin. The other advantage of surgery is that the acoustic neuroma is completely removed. Once taken out, the chances of an acoustic neuroma recurring are greatly diminished.

There are three approaches to the surgical removal of an acoustic neuroma. The best option will be determined by several factors, including the patients overall health:

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The Right Treatment For You

Not every acoustic neuroma patient will require surgery, but if your doctor has recommended it as the right treatment for you, it is because he or she believes it carries the most positive potential treatment outcome in your individual case. Part of a doctors job during the treatment planning process is to take into consideration any potential risks versus benefits, only recommending a procedure if it makes sense for you and your condition.

Should you find that you still have questions regarding the acoustic neuroma procedure itself, why your doctor has made the recommendations he or she has, any potential risks or anything else that may be on your mind, take a minute to write them down now. Bring them up at your next appointment using the information youve learned here to help you have a more detailed conversation regarding your treatment options. This better understanding will help contribute to your peace of mind, letting you focus on healing and your path to recovery.

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