THE THESIS of our presentation is that acoustic neuromas in their early stages are a teamwork problem, first of otologic and radiologic diagnosis, requiring the help of the sophisticated audiologist and the specialized otoradiologist, and then a problem for otomicrosurgical removal requiring teamwork with the experienced neurosurgeon.
To orient ourselves with respect to these relatively frequent and benign but potentially lethal tumors, a brief historical survey is instructive.
Acoustic neuroma was first described in a patient by Sir Charles Bell1 of Bell's Palsy fame, in 1830. The first successful removal was in 1894 by the eminent otologic and neurosurgeon, Sir Charles Ballance.2 Because an extremely high mortality of 80% at first attended removal of those tumors, Panse3 in 1904 suggested approaching them through the labyrinth. In 1911 Quix4 performed such an operation and prophesied that this approach would bring these tumors within the province of otology.
SHAMBAUGH GE. Team Approach to Early Diagnosis and Removal of Acoustic Neuromas. Arch Otolaryngol. 1966;83(6):570–573. doi:10.1001/archotol.1966.00760020572014
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