Acoustic neuromas are benign tumors that form on the nerve that links your inner ear to your brain. They are also known as acoustic neuroma tumors.
In many circumstances, an acoustic neuroma may not need urgent treatment and instead just needs to be watched by a qualified medical expert. How To Shrink Acoustic Neuroma Naturally? At other situations, a treatment such as surgery or radiation therapy may be recommended by the attending physician. There are currently no home treatments or natural cures that are known to be effective in preventing or treating this illness.
The condition known medically as vestibular schwannomas may also refer to acoustic neuromas.
According to a trusted source from the National Cancer Institute, schwannomas are a kind of tumor that may develop on the protective coating of nerve cells known as Schwann cells. Schwannomas make for around 8 percent Trusted Source of the total number of tumors seen in the skull.
Continue reading to learn about the many possible treatments for acoustic neuromas, as well as the circumstances in which each one is advised.
There are several treatment methods available for acoustic neuromas.
Every year in the United States, around 3,000 cases of acoustic neuromas are identified and diagnosed.
These tumors are often harmless and do not pose a danger to the patient’s life. In spite of this, there is still a chance that they will need urgent treatment in order to avert problems.
In general, the choices for therapy are based on a number of considerations, including the following:
The extent of the growth of the tumor
The position of the tumor inside the body
A measure of how quickly the tumor is expanding.
The degree of hearing loss in the ear that was injured
Irrespective of whether it has an effect on any other neurons or tissues in your head
Your age as well as your general state of health
Your personal preferences
When discussing various treatments with you, a medical expert will inform you of the pros and downsides of each choice in order to assist you in making the choice that is in your best interest regarding your health.
The treatment for acoustic neuromas is often carried out in the following manner by medical professionals.
It is conceivable to have a tumor that develops at such a slow rate that it may be seen yet does not need treatment at any point in time.
If any of the following apply to your acoustic neuroma, your physician may advise observation:
Is very little
Isn’t becoming bigger
Produces none or very few observable symptoms
In most cases, MRI scans are ordered on a recurring basis, anywhere from once every six months to once every year Trusted Source. Your doctor will be able to closely monitor your tumor in order to look for symptoms of growth thanks to this. If your symptoms become worse or the scans suggest that the tumor is becoming bigger, your doctor will talk to you about some of the alternative treatment choices that are available.
A research done in 2018
After a median follow-up time of 25 months, Trusted Source of patients with small acoustic neuromas discovered that 15 out of 61 individuals (24.6 percent) switched from observation to another kind of therapy. The median length of the follow-up period was 25 months. This was most often the result of the tumor having expanded in size.
During this course of therapy, the tumor will either be completely or partially excised by a surgeon. You could need surgery for a number of reasons, such as if a smaller tumor is becoming bigger or if a larger tumor is producing substantial symptoms. However, the most common causes for surgery are listed below.
According to a study that was published in 2017, there are three distinct surgical procedures that may be used to treat acoustic neuromas. In order to remove the tumor, each of these procedures involves opening the patient’s skull. The strategy that is implemented will be determined by elements such as:
Localization of the tumor
The degree of hearing loss in the ear that was injured
The following are the three different surgical techniques that may be used for acoustic neuromas:
Retrosigmoid. In this method, the tumor is removed by a surgeon via an incision that is created in the region that is located behind the ear. The retrosigmoid method is often the one that results in the greatest preservation of hearing.
Middle cranial fossa. Under this strategy, the tumor will be removed by the surgeon via an incision that has been created on the side of the head and just behind the ear. This is another another helpful strategy for protecting one’s hearing.
Translabyrinthine. Under this strategy, the tumor is removed by a surgeon via a hole in the outer ear that leads to the canal that runs through the middle ear. People who have partial or complete loss of hearing in the ear that is afflicted are the primary target audience for this device.
In general, removal of smaller tumors is simpler, and patients may maintain some degree of hearing ability after the procedure. Surgical excision of these kinds of tumors often results in an improvement in a number of other symptoms as well.
Larger tumors are more difficult to treat since they often affect the nerves and tissues that are located nearby. During the removal process, these nerves and tissues could sustain injury, which might make certain symptoms even more severe. It is possible that a medical practitioner will advise merely removing a portion of the tumor rather than the whole thing under certain circumstances.
When dealing with large tumors, it is possible that a multidisciplinary strategy including a neurosurgeon and a neurotologist would be necessary.
Therapy with radiation
According to study from 2018, a treatment known as radiation therapy or radiosurgery is one that may be utilized to lessen the size of the tumor or slow down its development. It is connected to very high rates of maintaining one’s hearing.
This kind of therapy is not officially considered to be surgery. This is due to the fact that it does not need any kind of incision and is thus considered noninvasive. In addition, anesthesia is not often required for people undergoing radiation treatment.
If the tumor is tiny or medium in size, a medical practitioner could suggest radiosurgery as a treatment option. It is often suggested for those who:
Are elderly adults
Have additional issues affecting their health
Acoustic neuromas are present in both of your ears.
A condition in which a person can hear solely out of one ear and has an acoustic neuroma in that ear
The term “stereotactic radiosurgery” refers to one of the most common types of radiosurgery (SRS). SRS may be performed using a variety of various technologies or systems, such as the Gamma Knife, CyberKnife, and Triology, amongst others.
Surgical resection of the sinuses (SRS) is often carried out jointly by an otolaryngologist and a radiation oncologist. Due to the fact that they specialize in issues relating to the ear, nose, and throat, otolaryngologists are often referred to as ENTs.
In order to provide radiation to the tumor as part of this therapy for acoustic neuromas, a qualified medical expert will employ the aforementioned technologies. The DNA of tumor cells must be targeted with extreme specificity while the surrounding tissue must be avoided at all costs.
It is possible that you may need one or more sessions of SRS.
Factors that increase the risk of acoustic neuroma
According to the findings of a study evaluation conducted in the year 2021 by a Trusted Source, an extremely uncommon genetic disorder known as neurofibromatosis type 2 (NF2) is the sole known risk factor for auditory neuroma. People who have this syndrome often experience the development of acoustic neuromas in both of their ears at the same time. A mutation in the NF2 gene, which prevents a tumor-suppressing protein from functioning as it should, is the root cause of the condition.
It’s possible that you won’t feel any symptoms if the acoustic neuroma is just a little one. If you do have symptoms, according to study from 2021 from a reliable source, they may include the following in the ear that is affected:
A buzzing sound in the ears (tinnitus)
A sensation of brimming up inside the ear
Dizziness or vertigo
Issues in maintaining equilibrium
When an acoustic neuroma becomes bigger, it has the potential to start pressing on other nerves in the area, including those that supply the face, mouth, and throat. In certain cases, this might result in symptoms such as:
Discomfort in the face or tongue, including numbness or tingling.
A weakening of the face
Twitching of the face
Difficulty in the act of swallowing (dysphagia)
Acoustic neuromas that are very big have the potential to obstruct the passage of cerebrospinal fluid (CSF). Hydrocephalus is a dangerous ailment that may result from doing anything like this.
CSF accumulates when someone has hydrocephalus, which causes the pressure within the skull to rise. It may result in symptoms such as:
Nausea or vomiting
Coordination issues with the movements (ataxia)
Perplexity or altered mental state
When to seek medical attention:
It is essential that you get medical attention at the earliest possible opportunity if you have any symptoms, including hearing loss, tinnitus, or vertigo. Even while an acoustic neuroma may not be the source of your symptoms, it is possible that they are the result of another problem that requires medical attention.
If you do have an acoustic neuroma, getting it diagnosed and treated as soon as possible will significantly improve your prognosis for the disease. Because of this, potentially life-threatening consequences like hydrocephalus and lifelong hearing loss may be avoided.
If you experience symptoms of an acoustic neuroma, a healthcare expert will ask you questions about your medical history and will do a physical assessment on you. During this test, they will check your balance as well as inspect and evaluate your ears.
They will also do something called an audiometry test on your hearing. This test will evaluate how well you can differentiate between a variety of sounds and tones.
Imaging techniques may be used by a medical expert to provide conclusive evidence that a patient has an acoustic neuroma. Typically, they will request an MRI scan, which is capable of producing pictures of the tumor and revealing its precise location to the attending physician. In some conditions, the physician may choose to have the patient have a CT scan instead.
Treatments such as surgery and radiation treatment may be helpful in preventing potentially significant consequences that may arise as a result of an acoustic neuroma that is extremely big or is becoming larger. There is a possibility that the symptoms may improve, and the hearing will be retained, in some situations.
However, these therapies are not without hazards, which a medical expert will be able to explain to you in further detail. The following are examples of possible complications:
After receiving therapy, monitoring is an essential step. It is possible for a tumor to start growing again after treatment with radiation, for instance. Because of this, your physician will want to continue monitoring the tumor via the use of frequent scans in order to ensure its continued stability.
At the time of diagnosis, therapy may not be necessary for some acoustic neuromas. Nevertheless, it is essential to keep a close eye on both the progression of your symptoms and the state of the tumor. Your healthcare provider will be able to assist you in making the decision of which treatment choice is best for you.
Is it possible for auditory neuromas to decrease in size on their own?
Sometimes, an acoustic neuroma may decrease on its own without any intervention. If a person has an acoustic neuroma, they may get an MRI scan at least once a year to assess whether or not the tumor has increased in size. The frequency of these scans might vary. The medical professional may also inquire about symptoms, such as tinnitus, commonly known as ringing in the ears, hearing loss, and issues with balance.
Is it possible for aspirin to reduce an acoustic neuroma?
A brain tumor known as an acoustic neuroma may be slowed or even stopped from growing if a person regularly takes aspirin, according to the findings of researchers at the Harvard Medical School. Only one side of the head is affected by this very unusual benign growth that gradually destroys hearing and produces ringing in the ears.
How can one prevent an auditory neuroma from progressing further?
What kind of treatment is given for an acoustic neuroma? Dr. Zwagerman: Radiation treatment, which may block the development of tumors in up to 90 percent of patients, and surgery, which can remove the lesion, are the two primary methods for treating cancer. There are certain patients who could potentially be candidates for observation as a sole treatment option.
What do you consider to be the most effective therapy for acoustic neuroma?
Radiosurgery is a noninvasive procedure that uses precisely focused, narrow beams of radiation to treat the acoustic neuroma while limiting the amount of radiation that affects surrounding structures, including the hearing, balance, and facial nerves. Radiosurgery is also known as stereotactic radiosurgery.
How can I get my acoustic neuroma to go smaller?
In many circumstances, an acoustic neuroma may not need urgent treatment and instead just needs to be watched by a qualified medical expert. At other situations, a treatment such as surgery or radiation therapy may be recommended by the attending physician. There are currently no home treatments or natural cures that are known to be effective in preventing or treating this illness.
What factors contribute to the development of an acoustic neuroma?
The failure of a “governor” gene to limit the development of Schwann cells, which are the cells responsible for covering nerve fibers with insulation, is the underlying cause of the vast majority of auditory neuromas. This failure occurs at the cellular level. These cells will proliferate and develop the neuroma if they are not suppressed.
Is there any evidence that prednisone can treat acoustic neuroma?
Steroids are also used to control some of the typical problems that emerge following surgery for acoustic neuroma. These consequences include aseptic meningitis, leakage of cerebrospinal fluid (CSF), pseudomeningocele, and delayed facial paralysis. Steroids are used to treat these conditions.