Acoustic Neuroma Surgery/Treatment

Brain tumour removal by keyhole (small) incisions is done through the small openings to minimize the damage of the surrounding scalp, brain, blood vessels, etc. It is also known as a retro-sigmoid craniotomy. It removes the skull-base tumors by making a small incision behind the ears, which allows access to the surgeon. It is a less painful technique to remove the brain tumor. Also, faster recovery and minimal scarring are the additional benefits of this procedure.

Acoustic neuroma is a little difficult to diagnose as its symptoms are common to other minor problems related to the ears. Initially, ear examination and a hearing test may be performed. CT scan and MRI can be conducted to know the exact location and size. Some of the methods of diagnosing acoustic neuroma are:

• · A hearing test (audiometry): A trial of hearing capacity, which quantifies how well the patient hears sounds and discourse, is generally the primary test performed to analyze acoustic neuroma. The patient tunes in to sounds and discourse while wearing headphones connected to a machine that records reactions and measures hearing capacity. The audiogram may show expanded "unadulterated tone normal" (PTA), expanded "discourse gathering edge" (SRT) and diminished "discourse separation" (SD).
• Brainstem auditory evoked responses(BAER): This test is performed in certain patients to give data on cerebrum wave movement reaction to snaps or tones. The patient tunes these sounds while wearing terminals on the scalp and ear cartilage and headphones. The anodes get and record the mind's reaction to these sounds.
• Magnetic resonance imaging (MRI): If different tests show that the patient may have an acoustic neuroma, attractive reverberation imaging (MRI) is utilized to affirm the conclusion.

X-ray utilizes attractive fields and radio waves instead of x-beams and PCs to make the point by point photos of the cerebrum. It shows visual "cuts" of the mind that can be joined to create a three-dimensional tumour image. A different colour is infused into the patient. On the off chance that an acoustic neuroma is available, the tumor will absorb more colour than normal cerebrum tissue and show up obviously on the output. The MRI usually shows a thickly "upgrading" (brilliant) tumor in the inner sound-related trench.

• Observation: this treatment requires a lot of patience and is advisable if the tumor is in an early stage. Since acoustic neuroma is benign, immediate treatment can be avoided. A patient can be kept under observation with regular MRI scans, and its treatment can be tried using drugs. In case acoustic neuroma grows or gets other severe treatments can be adopted.
• Radiation therapy: some acoustic neuroma can also be treated using radiation therapy when many radiation doses are sent to the affected area. The tumor stops increasing and even shrinks in some of the cases. There are two possible ways to perform radiation therapy:
  • Single fraction stereotactic radiosurgery (SRS) when many radiations are sent to the tumor in one session. In this method, only one session with higher doses is performed.
  • Multi-session fractionated stereotactic radiotherapy (FRS) when smaller doses are sent to the tumor in several sessions daily for a few weeks. Studies have suggested that FRS is more effective and reliable than SRS. Radiation therapy does not require the patient to be admitted to the hospital. Radiation therapy stops the growth of the tumor or, even in some cases; it shrinks the tumor; however, the tumor is not completely removed using radiation therapy.
• Surgery is the most effective Acoustic neuroma treatment in India as the entire tumor can be removed using the surgery. There are three ways in which surgery for acoustic neuroma can be done. Which are as under:
  • Trans labyrinthine includes making an entry, pointing behind the ear, evacuating the bone behind the ear and a portion of the centre ear. This methodology is utilized for tumors more significant than 3 centimetres. The upside of this methodology is that it permits the specialist to see a significant cranial nerve (the facial nerve) obviously before expelling the tumor. The drawback of this system is that it brings about irreversible hearing misfortune.
  • Retro sigmoid/suboccipital includes uncovering the tumour's rear by opening the skull close to the rear of the head. This methodology can be utilized to expel tumors of any size and offer the chance to save hearing.
  • Centre fossa includes evacuating some bone over the ear channel to access and remove tiny tumors kept to the inward sound-related trench, the narrow path from the cerebrum to the centre and internal ear. Utilizing this methodology may empower specialists to save a patient's hearing.

It is advisable to undertake all the precautions and majors as advised by your doctor. In the case of surgery for acoustic neuroma, your doctor is likely to prescribe you some antibiotics, antibiotics and steroids as per the requirement. You should inform your doctor about other medicines you are taking to take a call if you have to discontinue taking the same.

Patients with a habit of smoking and drinking are advised to quit the same for some time. Once the surgery is done, the patient will likely suffer some discomfort or fatigue. This treatment does not require rigorous post-procedure care; however, few precautions are required to speed recovery, which generally takes three to five weeks.

Patients are required to maintain high hygiene near the incision area. The patient should avoid working and driving as advised by the doctor. It is needless to mention that the patient should take herbal medicines as instructed by the doctor.

Complications in Acoustic Neuroma Treatment

If any person has been diagnosed with acoustic neuroma, such a person must be treated using one of the ways mentioned above. However, it is essential to understand a few complications that might arise. It is necessary to know that tumors can be removed entirely through surgery; however, in the rare case, the person can have paralysis of the face after being operated on. Weakness in the face after the treatment might arise. In a few rare cases, a person may face delayed side effects of radiation therapy, including nerve damage leading to chances of paralysis in the face.

However, a lot depends on the patient's age, health, and condition. A person must be treated with the best of the facilities by a team of experts so that any chances of side effects and complications can be minimized to the possible extent.

Acoustic neuroma is an uncommon medical condition, and its treatment is complex which requires the best of the facilities and highly skilled professionals. Our infrastructure and team of experts are considered one of the best for providing proper treatment for an acoustic neuroma in Gurgaon. We understand that there are significant complications and high risks involved. Any mistake is likely to cost the patient's hearing capability. Hence, we provide the best treatment with a team of experienced professionals having vast knowledge and experience in treating acoustic neuroma for many years.

We believe in providing the best care to the patients depending upon their specific needs. We are the best in Acoustic neuroma treatment in Gurgaon, India as we believe in treating the person and not just the disorder. Every patient is unique, every problem is different, and so is our treatment for them. Our services are unique and customized according to your situation. We provide you with the treatment best suitable to you, and we formulate a program according to your requirements and continue to monitor your progress.