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February 1969

Acoustic Neuroma: Selection of Approach

Arch Otolaryngol. 1969;89(2):334-337. doi:10.1001/archotol.1969.00770020336020

I HAVE BECOME interested in the problem of acoustic neuromas through the work of Dr. William House, and as a result, have introduced the new translabyrinthine microsurgical methods to Spain. So as to take advantage of the new otomicrosurgical techniques, we have endeavored to make the diagnosis as early as possible. To do this, we always keep in mind the possibility of an acoustic neuroma in every patient with unilateral sensorineural hearing loss, whether or not the patient has vertigo. As a result, I have been able to diagnose, between 1963 and 1966, 18 probable neuromas, and of these, I have operated upon eight. This is in marked contrast to my earlier experience from 1933 to 1963, during which time I diagnosed only two cases of acoustic neuroma, and I am certain that some patients with acoustic neuroma were overlooked who today would be detected.

In each patient with a

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