By Mirko Tos, Jens Thomsen (auth.), Jin Kanzaki M.D., Mirko Tos M.D., DMSc dr.h.c., Mario Sanna M.D., David A. Moffat M.D., Takanobu Kunihiro M.D., Yasuhiro Inoue M.D. (eds.)
This quantity of the Keio collage overseas Symposia for LifeSciences and drugs comprises the lawsuits of the 11th symposium held lower than the sponsorship of the Keio college scientific technology Fund. As defined within the starting feedback through the President of Keio collage, the fund was once validated by means of the beneficiant donation of Dr. Mitsunada Sakaguchi. The Keio collage foreign Symposia for all times Sciences and drugs represent one of many center actions backed through the fund, the target of that is to give a contribution to the overseas group through constructing human assets, selling clinical wisdom, and inspiring mutual trade. every year, the Committee of the foreign Symposia for all times Sciences and medication selects the main major symposium subject from purposes obtained from the Keio clinical group. The booklet of the complaints is meant to publicize and disseminate the data bobbing up from the vigorous discussions of the main fascinating and present matters provided through the symposium. On behalf of the Committee, i'm so much thankful to Dr. Mitsunada Sakaguchi, who made the symposia sequence attainable. Weare additionally thankful to the in demand audio system for his or her contribution to this quantity. In addition,wewould liketo recognize the efficientorganizational paintings played through the participants of this system committee and the workers of the fund. Naoki Aikawa,M.D.,D.M.Sc., EA.C.S.
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Additional resources for Acoustic Neuroma: Consensus on Systems for Reporting Results
Key words. Classification, Hearing, Vestibular schwannoma Introduction Vestibular schwannomas (VSs) have been traditionally classified according to the size of the tumor . However, such classification systems do not comprehensively describe either the diverse areas in which VSs arise, or their growth patterns. We propose here a classification system for VSs that allows surgeons to envisage anatomic relationships between the tumor and surrounding structures. Our classification system of vestibular schwannomas (Fig.
R. Wolf et al. Introduction How to measure the size of an acoustic neurinoma (AN)? This question has introduced controversies and is not yet satisfactorily answered. In many radiological studies, one  or two diameters  of the tumor are described. , the largest diameter in the cerebellopontine angle, or the longitudinal diameter in the axis of the internal auditory canal with or without measuring the largest perpendicular diameter. However, tumors grow in three dimensions and, as in the human body where the height of a person does not reflect their weight, a simple longitudinal measurement is not well correlated to the mass of a tumor.
0 mm for tumors reaching completely the fundus a c FIG. 6a-c. Three examples of the suggested reporting system. a Grade 0: EC Omm, IC 8mm (d,f2mm) (intracanaliculartype). b Grade 2: EC 20mm,IC 8mm (d,f2mm). c Grade 2: EC 20mm, IC Omm (medial-type tumor) TABLE 2. f 2mm). f 2mm). A so-called medial-type tumor without an IC component, and with 2em in its EC portion compressing the BS, will be grade 2: EC 20mm (c), IC Omm. Finally,the degree of tumor resection, should also be addressed, and a proposed system is described as follows: total removal for 100% removal, neartotal removal for small pieces of tumor left over the facial, the cochlear, or the BS, partial removal for more than 50% and less than 100% (in cases other than that mentioned in near-total removal), and biopsy for less than 50% removal (Table 2).
Acoustic Neuroma: Consensus on Systems for Reporting Results by Mirko Tos, Jens Thomsen (auth.), Jin Kanzaki M.D., Mirko Tos M.D., DMSc dr.h.c., Mario Sanna M.D., David A. Moffat M.D., Takanobu Kunihiro M.D., Yasuhiro Inoue M.D. (eds.)