THE TEAM approach to acoustic neuroma surgery is here to stay. The roles of the otologist, neurosurgeon, radiologist, internist, and anesthesiologist are all important. We feel, however, that none of these doctors should spend full time in dealing with these lesions, but rather bring the full gamut of their particular field of medicine to the patient with this problem.
Many still believe that the natural history of acoustic neuromas is statistically benign, and therefore feel justified in advocating a course of watchful waiting. Yet the clinical evolution of this condition has been so methodically laid out, and the price of delayed treatment has been recorded as so costly, that the burden of proof must fall on those who advocate such an approach.
The surgical microscope has expanded our eyes into many new surgical methods. The techniques of swift, yet accurate, bone removal have revolutionized temporal bone surgery. These techniques can
House WF. Afterthoughts. Arch Otolaryngol. 1968;88(6):715. doi:10.1001/archotol.1968.00770010717021
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