Controversy

Controversy is a state of prolonged dispute or debate, usually concerning a matter of conflicting opinion or point of view.

Controversy related to the choice of surgical approach for vestibular schwannoma (VS) resection remains. Whether the retrosigmoid (RS) or translabyrinthine (TL) approach should be performed is a matter of debate. In the context of a lack of clear evidence favoring one approach, Obaid et al. conducted a retrospective study to compare the morbidity rate of both surgical approaches 1).


The Simpson grading system 2), developed in 1957 by Donald Simpson, has been considered the gold standard for defining the surgical extent of resection World Health Organization grade 1 meningiomas. Since its introduction, the scale and its modifications have generated enormous controversy.


1)
Obaid S, Nikolaidis I, Alzahrani M, Moumdjian R, Saliba I. Morbidity Rate of the Retrosigmoid versus Translabyrinthine Approach for Vestibular Schwannoma Resection. J Audiol Otol. 2018 Aug 22. doi: 10.7874/jao.2018.00164. [Epub ahead of print] PubMed PMID: 30130845.
2)
SIMPSON D. The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry. 1957 Feb;20(1):22-39. doi: 10.1136/jnnp.20.1.22. PMID: 13406590; PMCID: PMC497230.
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