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December 1968

Medical Management of Patient With Acoustic Neuroma

Author Affiliations

Los Angeles
From the Otologic Medical Group, Los Angeles.

Arch Otolaryngol. 1968;88(6):668-674. doi:10.1001/archotol.1968.00770010670016

Preoperative Phase  AFTER a review of some hundred patients with acoustic neuromas, certain patterns emerge which form the basis of our clinical judgment in handling these patients.I shall not emphasize the general features of a good medical work-up, but rather concentrate on those small points which particularly serve our purpose in treating these patients through the entire surgical course of their illness. This allows us to anticipate problems that are common in this group and to take proper preventive measures.Certain points of the history have particular relevance. We are most interested in the history of previous bleeding incidents. A history of menorrhagia, post-tonsillectomy bleeding or post-tooth extraction bleeding are particularly helpful. First-stage clotting defect patients will often bleed under these circumstances but be able to hold their own well with simple bruising or skin lacerations because of the extrinsic clotting factors which will often mask a true intrinsic

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