Can a combination of treatments be used for people with acoustic neuromas?

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Isaac Yang, MD
Neurosurgery
Before radiosurgery and radiotherapy, open microneurosurgery was the only way to treat acoustic neuromas. The modalities of radiation and radiotherapy allow doctors to treat a tumor after most of it has been taken out. For instance, if doctors want to try to save facial nerve function and there's a tumor that's very attached to the nerve, a little bit can be left behind and followed up with radiation treatment. However, research has shown that whether doctors remove 100% of the tumor, or most of the tumor followed by either observation or radiation for the residual, the overall rate of recurrence is essentially unchanged in these two groups.

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