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J R Soc Med. 1989 June; 82(6): 329–332.
PMCID: PMC1292162

Early diagnosis and surgical management of acoustic neuroma: is it cost effective?

Abstract

Audiological and radiological advances and refinement of microsurgical techniques have facilitated the diagnosis and excision of very small acoustic nerve tumours with a low morbidity and mortality. Is this cost effective? In an attempt to answer this question, an analysis of 66 cases of surgically treated acoustic neuromas is presented. This represents a part of a series of otoneurosurgical procedures carried out at Addenbrooke's Hospital over the last five years. By studying the relative morbidity of early and late surgical intervention in these cases, and by costing the exercise, the justification for early diagnosis and treatment is presented both in financial and human terms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Thomsen J, Jorgensen MB. Undiagnosed acoustic neurinomas. A presentation of 4 cases. Arch Klin Exp Ohren Nasen Kehlkopfheilkd. 1973 Oct 12;204(3):175–182. [PubMed]
  • Tos M, Thomsen J. Epidemiology of acoustic neuromas. J Laryngol Otol. 1984 Jul;98(7):685–692. [PubMed]
  • Croxson GR, Moffat DA, Baguley D. Bruns bidirectional nystagmus in cerebellopontine angle tumours. Clin Otolaryngol Allied Sci. 1988 Apr;13(2):153–157. [PubMed]
  • Moffat DA, Hardy DG, Baguley DM. Strategy and benefits of acoustic neuroma searching. J Laryngol Otol. 1989 Jan;103(1):51–59. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press