Abstract
The advent of radiosurgery has recently changed the trend in the treatment of vestibular schwannoma (VS).Large (>or=3 cm) VSs often still need surgery. Hearing preservation is not easy when total resection is attempted.Subtotal resection of VS seldom leads to recurrence. Radiosurgery can be applied even if the residual VS recurs.We report two patients with large VS treated by intentional subtotal resection with hearing preservation. We recommend subtotal resection for large VS of the patient with serviceable hearing.
