The ultimate treatment decision should be one reached together with an experienced professional. In some patients, especially those with small tumors and few side effects, ca reful observation is a very viable option. One must keep in mind that just because a tumor does not grow does not mean it won't continue to increase your hearing loss, or increase the tinnitus or other related symptoms. We strongly recommend MRIs at intervals of 6 months to a year in order to monitor the tumor. The treatment of tumors with radiation is appealing to many because it will allow them to avoid surgery.
Radiation treatment exists in many forms and, like microsurgery, is undergoing continued innovation.
It involves delivering doses of radiation to the tumor with avoidance of surrounding vital structures. It is generally not recommended for tumors exceeding 3 centimeters in diameter. Like microsurgery, there are many different treatment protocols and skill levels making comparisons of results difficult. Dosage levels, targeting methods and accuracy are just a few factors that may vary. Just as for micro-surgery, it is essential to consult experts with direct experience in the protocol you are considering.