Preserving normal facial nerve function and improving hearing outcome in large vestibular schwannomas with a combined approach: planned subtotal resection followed by gamma knife radiosurgery.

Although these results did not reach statistical significance, despite showing a strong tendency ( p = 0.059, two sample t test), there was a trend toward the tumors in Group A being smaller and the tumor remnant after GKRS to be larger in this group.

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Although the global rate of transient facial palsy was less than 0.5% in the entire series, there was a definite trend in improved facial nerve outcomes with experience and new technology.

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