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The natural history of nonoperated acoustic neuromas was presented by Barry Strasnick, MD, and collaborators, Nashville, Tenn. They presented a series in which the diagnosis had been made by imaging but no surgery performed initially because of tumor size, good hearing, advanced age, medical conditions, and/or patient preference. Mean size was 1.03 cm. Six months' to 11 years' follow-up was reported. Growth rate averaged 0.11 cm per year. There was no growth in 16 of 50 tumors. Twenty-four percent of patients needed surgery because of progression of the tumor. Early tumor growth rate may be predictive of those who will need surgical removal of the neuroma. (1)
Don E. McCleve, MD, Los Gatos, Calif, reported the physiology and methods of prevention of blindness secondary to injections of medications in the facial and nasal region. All of the vessels
HUNSAKER D. 96th Annual Meeting of The American Laryngological, Rhinological, and Otological Society, April 19-21, 1993, Los Angeles, Calif. Arch Otolaryngol Head Neck Surg. 1993;119(8):912–913. doi:10.1001/archotol.1993.01880200118019
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