BACKGROUND AND OBJECTIVE: Despite advances in skull base surgery, achieving effective surgical management of jugular foramen @entity808 (JFSs) that @entity129 remains a challenge. Subtotal resection followed by radiosurgery (rather than radical resection) is increasingly being viewed as a better treatment strategy. Here, an institutional database was retrospectively analyzed for outcomes after surgical treatment of JFSs to evaluate the optimal strategy for managing JFSs. METHODS: Twenty-two @entity1 with JFSs were operated on by either radical resection (n = 13) or conservative resection plus radiosurgery (n = 9). These two different groups were compared in terms of early ( <=4 weeks post-surgery) and late postoperative functional outcome and oncologic control. RESULTS: No mortalities were observed in either group, but there were three surgery-related complications in the radical resection group. @entity129 and additional procedures related to CN morbidity were generally higher in the radical resection group, but the differences were not statistically significant. The conservative surgery group showed a statistically significant improvement in the level of @entity1282 and @entity1282 -related functional state in the late postoperative period. There was one case of recurrence after radical resection over a mean follow-up period of 73 months. All @entity5 in the conservative surgery were controlled over a mean period of 34 months. CONCLUSIONS: Our results suggest that conservative resection of JFSs via a familiar intracranial approach plus radiosurgery may be an effective surgical alternative for improving functional outcome with adequate oncologic control.

A single institution retrospective study of XXXX management: Radical resection versus subtotal intracranial resection through a retrosigmoid suboccipital approach followed by radiosurgery.

@entity808 :: ('MESH:D009442', 'Disease') :: ['schwannomas'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity129 :: ('MESH:D003389', 'Disease') :: ['avoids postoperative cranial nerve (CN) deficits', 'Postoperative CN deficits'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia']
@entity808 :: (MESH:D009442,Disease) :: ['jugular foramen schwannoma']
