Vestibular schwannoma (vs) surgery: Histological considerations and operative results

Tomio Sasaki, Koji Yoshimoto, Suzuki O. Satoshi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

In vestibular schwannoma (VS) surgery, understanding of the tumor capsules and nerve-tumor interface is very important to achieve extensive tumor removal while preserving facial and cochlear nerve function. We here demonstrate that tumor capsules of VS consist of thin perineurium of the vestibular nerve and remaining vestibular nerve fibers based on our histological examinations. Also, we show our operative concept of “subcapsular” or “subperineurial” dissection to preserve cranial nerve functions. In this procedure, we place the cleavage plane between the tumor capsules and the tumor parenchyma, which enables us to perform nearly total removal of the tumor by tracing this cleavage plane. Finally, we present our surgical outcomes based on this histological consideration, and conclude that we could increase the possibilities of preserving facial and cochlear nerve functions by performing “subcapsular” or “subperineurial” dissection.

Original languageEnglish
Title of host publicationTumors of the Central Nervous System, Volume 7
Subtitle of host publicationMeningiomas and Schwannomas
PublisherSpringer Netherlands
Pages325-334
Number of pages10
ISBN (Electronic)9789400728943
ISBN (Print)9789400728936
DOIs
Publication statusPublished - Jan 1 2012

Fingerprint

Acoustic Neuroma
Neoplasms
Vestibular Nerve
Capsules
Cochlear Nerve
Facial Nerve
Dissection
Cranial Nerves
Peripheral Nerves
Nerve Fibers

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Sasaki, T., Yoshimoto, K., & Satoshi, S. O. (2012). Vestibular schwannoma (vs) surgery: Histological considerations and operative results. In Tumors of the Central Nervous System, Volume 7: Meningiomas and Schwannomas (pp. 325-334). Springer Netherlands. https://doi.org/10.1007/978-94-007-2894-3_35

Vestibular schwannoma (vs) surgery : Histological considerations and operative results. / Sasaki, Tomio; Yoshimoto, Koji; Satoshi, Suzuki O.

Tumors of the Central Nervous System, Volume 7: Meningiomas and Schwannomas. Springer Netherlands, 2012. p. 325-334.

Research output: Chapter in Book/Report/Conference proceedingChapter

Sasaki, T, Yoshimoto, K & Satoshi, SO 2012, Vestibular schwannoma (vs) surgery: Histological considerations and operative results. in Tumors of the Central Nervous System, Volume 7: Meningiomas and Schwannomas. Springer Netherlands, pp. 325-334. https://doi.org/10.1007/978-94-007-2894-3_35
Sasaki T, Yoshimoto K, Satoshi SO. Vestibular schwannoma (vs) surgery: Histological considerations and operative results. In Tumors of the Central Nervous System, Volume 7: Meningiomas and Schwannomas. Springer Netherlands. 2012. p. 325-334 https://doi.org/10.1007/978-94-007-2894-3_35
Sasaki, Tomio ; Yoshimoto, Koji ; Satoshi, Suzuki O. / Vestibular schwannoma (vs) surgery : Histological considerations and operative results. Tumors of the Central Nervous System, Volume 7: Meningiomas and Schwannomas. Springer Netherlands, 2012. pp. 325-334
@inbook{20b13a58b5884874baa12656481ab573,
title = "Vestibular schwannoma (vs) surgery: Histological considerations and operative results",
abstract = "In vestibular schwannoma (VS) surgery, understanding of the tumor capsules and nerve-tumor interface is very important to achieve extensive tumor removal while preserving facial and cochlear nerve function. We here demonstrate that tumor capsules of VS consist of thin perineurium of the vestibular nerve and remaining vestibular nerve fibers based on our histological examinations. Also, we show our operative concept of “subcapsular” or “subperineurial” dissection to preserve cranial nerve functions. In this procedure, we place the cleavage plane between the tumor capsules and the tumor parenchyma, which enables us to perform nearly total removal of the tumor by tracing this cleavage plane. Finally, we present our surgical outcomes based on this histological consideration, and conclude that we could increase the possibilities of preserving facial and cochlear nerve functions by performing “subcapsular” or “subperineurial” dissection.",
author = "Tomio Sasaki and Koji Yoshimoto and Satoshi, {Suzuki O.}",
year = "2012",
month = "1",
day = "1",
doi = "10.1007/978-94-007-2894-3_35",
language = "English",
isbn = "9789400728936",
pages = "325--334",
booktitle = "Tumors of the Central Nervous System, Volume 7",
publisher = "Springer Netherlands",
address = "Netherlands",

}

TY - CHAP

T1 - Vestibular schwannoma (vs) surgery

T2 - Histological considerations and operative results

AU - Sasaki, Tomio

AU - Yoshimoto, Koji

AU - Satoshi, Suzuki O.

PY - 2012/1/1

Y1 - 2012/1/1

N2 - In vestibular schwannoma (VS) surgery, understanding of the tumor capsules and nerve-tumor interface is very important to achieve extensive tumor removal while preserving facial and cochlear nerve function. We here demonstrate that tumor capsules of VS consist of thin perineurium of the vestibular nerve and remaining vestibular nerve fibers based on our histological examinations. Also, we show our operative concept of “subcapsular” or “subperineurial” dissection to preserve cranial nerve functions. In this procedure, we place the cleavage plane between the tumor capsules and the tumor parenchyma, which enables us to perform nearly total removal of the tumor by tracing this cleavage plane. Finally, we present our surgical outcomes based on this histological consideration, and conclude that we could increase the possibilities of preserving facial and cochlear nerve functions by performing “subcapsular” or “subperineurial” dissection.

AB - In vestibular schwannoma (VS) surgery, understanding of the tumor capsules and nerve-tumor interface is very important to achieve extensive tumor removal while preserving facial and cochlear nerve function. We here demonstrate that tumor capsules of VS consist of thin perineurium of the vestibular nerve and remaining vestibular nerve fibers based on our histological examinations. Also, we show our operative concept of “subcapsular” or “subperineurial” dissection to preserve cranial nerve functions. In this procedure, we place the cleavage plane between the tumor capsules and the tumor parenchyma, which enables us to perform nearly total removal of the tumor by tracing this cleavage plane. Finally, we present our surgical outcomes based on this histological consideration, and conclude that we could increase the possibilities of preserving facial and cochlear nerve functions by performing “subcapsular” or “subperineurial” dissection.

UR - http://www.scopus.com/inward/record.url?scp=85030994401&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030994401&partnerID=8YFLogxK

U2 - 10.1007/978-94-007-2894-3_35

DO - 10.1007/978-94-007-2894-3_35

M3 - Chapter

AN - SCOPUS:85030994401

SN - 9789400728936

SP - 325

EP - 334

BT - Tumors of the Central Nervous System, Volume 7

PB - Springer Netherlands

ER -