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Acoustic Neuroma

Trends and Controversies

edited by: R. Filipo & M. Barbara

Price: € 43.00 / US $ 53.75

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Publication details: Book. 1999. vii and 177 pages. Publication date: 1999-04-07. 70 figures and 11 tables. Paperbound.

ISBN: 978-90-6299-176-1 (ISBN 10: 90-6299-176-9; Kugler Publications)


The diagnosis and treatment of acoustic neuroma can be considered a major goal of the 20th century. The assessment of auditory brainstem potentials and the use of magnetic resonance have made it possible to evaluate an increasing number of patients. The triumph over acoustic neuroma has been achieved using two methods: auditory evoked potentials and eight nerve neuromonitoring, which has also been extended to the other cranial nerves. This book will be a great asset to both young otologists and experienced specialists alike.



The diagnosis and treatment of acoustic neuroma within an otological context can be considered one of the major goals to be achieved before the end of the 20th Century. The routine assessment of auditory brainstem potentials and, more recently, the use of magnetic resonance, have made it possible to pinpoint an increasing number of patients to be evaluated for surgery or alternative strategies.

For many years in Italy, audiology has been shadowed by 'mother' otorhinolaryngology, but recently it has received the accolade it deserves in two main fields of interest: cochlear implants and acoustic neuroma. The conquest of this latter field, which some may consider to be an extension of our specialty, has been achieved using two methods:

  • auditory evoked potentials, first used by audiologists long before neurologists claimed them as part of their professional baggage, and including many improvements in their clinical application, mainly due to the leading schools in audiology;
  • eighth nerve neuromonitoring, which, as in the case of auditory electrophysiologists, audiologists have recently started using, later extending it to the other cranial nerves, in particular the seventh;

The 'country road' followed at the start of the 1960s by William House and his collaborators has nowadays changed into a 'super highway' run by several prestigious neurootological centers from all over the world. This book contains all the contributions presented at the Round Table on Acoustic Neuroma: Trends and Controversies, during the XXVth Meeting of the Italian Society of Audiology, held in November 1997 in Rome. It is our hope that it will be of help to those young otologists keen on approaching the problems of acoustic neuroma, as well as to experienced specialists as a welcome addition to their book shelves.

Robert Filipo Maurizio Barbara

Table of Contents

Table of Contents



The Los Angeles experience with acoustic neuromas
W.E. Hitselberger

Increase of incidence of vestibular schwannoma in Denmark
M. Tos, S. Charabi and J. Thomsen


Clinical and audiological evaluation of acoustic neuroma patients in relation to the size of the tumor
E. Cassandro, R. Filipo, M. Barbara, G.A. Bertoli, R. Masciangelo and A. Cordier

Eighth nerve neuroma - Audiological correlations
F. Ottaviani, G. Almadori and M. Maurizi

An evaluation of the application of auditory brainstem response to the detection of VIIIth nerve tumors
A.R.D. Thornton

Imaging of the cerebellopontine angle- New trends and differential diagnosis
F. D'Ambrosio, A. Bianchini, G. Bizzarri and P. Mancini

Diagnosis of acoustic neuromas - A cost-effectiveness decision
A. Quaranta, G.C. Ettorre, M. Onofri and S. lurato

Far lateral acoustic neuroma
G. Buongiorno, A. Cordier, P. Mancini, M. Barbara and R. Filipo


Facial nerve monitoring in acoustic neuroma surgery
F. Piazza, A. Gandolfi, S. Bacciu, E. Pasanisi, A. Bacciu, M. Negri, A. De Franco and C. Zini

Facial nerve monitoring - Intraoperative data
M. Barbara, A. Cordier and R. Filipo


Intraoperative auditory brainstern response monitoring - Results and pathophysiological considerations
A. Cordier, G.A. Bertoli, R. Filipo and M. Barbara

Hearing function monitoring in acoustic neuroma surgery - The role of electrocochleography
and direct CNAP
G.A. Bertoli, V. Giangrande, M. Tilli, R. Filipo and A. Cordier

Transiently evoked otoacoustic emissions in the assessment of cochlear function in surgery on neurinomas of the acoustic nerve
M.A. Pascarella, M. Saponara and M. Fabiani


Indications and timing for acoustic neuroma surgery
G. Babighian, F. Trabalzini and S. Albu

Suboccipital approach to the fundus of the internal auditory canal in acoustic neuroma
A. Mazzoni, G. Danesi and V. Calabrese

Retrosigmoid approach combined with partial labyrinthectomy and hearing preservation in
acoustic neuroma surgery
G. Magliulo, S. Varacalli, R. D'Amico and F. Zardo

Facial nerve preservation: Dissection techniques in acoustic neuroma surgery
R. Filipo, M. Barbara and A. Cordier

Computer-assisted surgery in the treatment of acoustic neuroma
F. Braun and B. Fraysse

Vestibular schwannoma growth - Long-term results
M. Tos, S. Charabi, J. Thomsen, M. Mantoni and B. Charabi

Index of authors

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