The latest information is sought, please.
An MRI scan reveals a clearly defined 3cm acoustic neuroma
on the inner ear. That ear is totally insensitive, which
has come about over 4 years. Some loss of feeling, also, on
that side of the face, during the last 2 months, is
reported. Patient is a young woman.
It is reported that surgical excision of acoustic neuromas
(over some 200 local, UK National Health Service, cases)
leaves around 60% of patients with unilateral facial
paralysis. Local medical opinion is that no restoration of
hearing on that side is possible, due to destruction of the
nerve by prolonged pressure from the tumour. A four to six
month wait for surgery is envisaged. Alternative
possibility is multi-polar radiotherapy, but size of tumour
is said to be against that, and other damage in the process
is said to be again likely.
What, in this conference, would be considered the most
satisfactory (for the patient) treatment, anywhere; if
surgical, by what technique. And where might be considered
the "best" centre for treatment. References to published
papers, anywhere, would be appreciated.
Looking to the future, what prospect is there of the
affected nerves, in such cases, being restored, if the inner
ear, for example, were not destroyed by the surgical
Email response, please, or to the conference if considered
of broad interest. Thankyou,
dbailey at cix.compulink.co.uk