The FIENS Virtual Visiting Professor Program featured a presentation by Professor Basant Misra on contemporary strategies for managing vestibular schwannoma. Professor Misra shared his extensive experience, emphasizing the retrosigmoid approach for microsurgery and discussing the roles of radiosurgery and observation. He provided detailed surgical tips, including the importance of wide drilling of the internal auditory canal, preserving arachnoid planes, and using endoscope assistance. Misra advocated for function preservation over total excision, especially in large and giant tumors, and discussed the use of tools like CUSA and calibrated suction. He outlined his decision-making process for treatment based on tumor size, patient symptoms, and age, favoring observation for small intracanalicular tumors and radiosurgery for elderly or high-risk patients. The presentation included a question and answer session where Misra addressed specific surgical challenges and techniques.
