Middle Cranial Fossa Approach to Vestibular Schwannoma Resection in the Older Patient Population

Middle Cranial Fossa Approach to Vestibular Schwannoma Resection in the Older Patient Population:



Objective:

Compare outcomes of middle cranial fossa approach (MCF) to vestibular schwannoma (VS) resection in patients 60 years of age and older to patients under 60.

Study Design:

Retrospective case series.

Setting:

Tertiary referral center.

Patients:

Charts of 216 consecutive VS patients over 18 years of age were reviewed to identify 67 patients who underwent MCF approach to VS resection between 2006 and 2017.

Intervention(s):

Age at time of surgery.

Main Outcome Measure(s):

Measured outcomes included postoperative hearing results, facial nerve function, length of hospital stay, wound complications, cerebrospinal fluid leak, myocardial infarction, cerebrovascular accident, seizure, deep vein thrombosis, 30-day readmission, and return to operating room.

Results:

Sixty-seven patients underwent VS resection via MCF approach including 16 patients > = 60 years (mean 64.4 SD 3.3) and 51 patients