If any of the following occur, call your doctor: Signs of infection, including fever, chills, and neck stiffness Worsening headache, balance problems, or hearing loss Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site Persistent nausea or vomiting Pain that you cannot control with the medicines you were given Runny nose If you think you have an emergency, call for emergency medical services right away.
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We have most likely already done some kind of imaging, such as magnetic resonance imaging MRI or computed tomography CT or CAT scan to diagnose your tumor. However, we may need to do additional imaging before your surgery to get a more detailed picture of the tumor. The images we obtain will be sent to a specialized computer system for our medical team to use during your surgery.
We may ask you to stop taking certain medications to decrease bleeding risks during surgery. Your doctor will review your list of medications and give you instructions for how to temporarily wean yourself off of them.
We may also instruct you to stop eating and drinking by midnight before your procedure. The kind of procedure we perform will be largely dependent on the type of tumor, its location and size, and your age and overall health. Our team of medical specialists, including a neurosurgeon, a neurotologist an ear, nose, and throat specialist , and an anesthesiologist will work together to remove the acoustic neuroma.
It is our mission to decrease your symptoms and improve your quality of life with minimal long-term impact to you. We will make incisions cuts near your ear and remove a piece of bone, which will be replaced at the end of the surgery, to access your brain and tumor.
We want to retract as little of the brain as possible to prevent potential damage. While the surgery takes place, we will monitor the function of your nerves to ensure your safety. We may use a surgical microscope to provide the greatest visibility of the tumor. The surgery generally ranges from four to six hours depending on the tumor size.
The following day we will transfer you to a medical surgical floor for the remainder of your stay at the hospital. You should expect to stay in the hospital for about three to five days, depending on the kind of surgery.
We will need to dissect the facial nerve from the tumor in order to preserve it. This manipulation can sometimes cause swelling, which can result in weakness or paralysis complete or partial loss of your muscle function.
This is usually temporary but can take weeks to months to recover. If this is the case, your eye may not fully close for a period of time. You can prevent your eyes from drying out with:. This could mean you have a spinal fluid leak. Every patient heals at his or her own pace after surgery. You can gently wash your hair after we take them out. We will prescribe you narcotic pain pills to help relieve any severe discomfort and pain.
Follow the instructions below to manage your pain safely and effectively. Ear sounds and discomfort are normal after acoustic neuroma surgery. However, if any of the sounds or pain worsens or continues, talk to your doctor. You may experience ear symptoms like:. You may experience varying levels of dizziness after surgery for a period of days or weeks.
Surgeons Samuel Selesnick left and Cameron Brennan are devoted to providing compassionate care for people with acoustic neuromas vestibular schwannomas. Depending on your acoustic neuroma vestibular schwannoma symptoms, size and location, and other important factors, Memorial Sloan Kettering experts may recommend surgery.
The aim of surgery is to remove as much of the tumor as possible while preserving important nerves, especially the nerve controlling movement in the face. In some cases, if we are concerned that surgery may damage these nerves, we may not be able to remove the entire tumor. Improvements in imaging technologies and skull-base surgical techniques have made surgery for acoustic neuromas safer and more effective than ever before. Throughout an operation to remove an acoustic neuroma, surgeons use sophisticated monitoring techniques to minimize the risk to the nerves in the region and to the brain.
Surgery for acoustic neuromas involves collaboration between neurosurgeons and neurotologists skull-base surgeons who specialize in the inner ear, the bones of the side and back of the skull, and the lower cranial nerves and brain stem. One year following surgery, most patients who have not experienced any surgical complications can expect to have resumed all activities and be symptom-free.
For patients who experience prolonged facial paralysis or weakness a year after surgery, you may be referred to an ENT surgeon to discuss surgical solutions. Educating yourself on what is experienced by the majority of patients is the best way to have a better idea of what you can expect along the way.
Prior to your surgery, your doctor will discuss with you which symptoms he expects to be resolved following surgery, any potential risks and side effects that may develop, how long you can expect to be on activity restrictions and how long before you will likely be able to return to work.
Knowing these details beforehand can help you make arrangements prior to your acoustic neuroma surgery, preventing unexpected hassles during your recovery period and allowing you to focus exclusively on getting better. Anthony D'Ambrosio is an accomplished neurosurgeon in North Jersey and a proud member of Neurosurgeons of New Jersey practicing primarily out of their Ridgewood office conveniently located on East Ridgewood Avenue.
He has expertise in a variety of complex surgical and radiosurgical techniques as well as minimally invasive procedures intended to successfully treat complex diseases of the brain. These techniques include micro-neurosurgery, microvascular decompression surgery and Gamma Knife radiosurgery. He's authored over 25 peer-reviewed journals and is the recipient of many awards.
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