摘要： 听神经瘤是最常见的颅内神经鞘瘤，治疗理念不断变化，从单纯手术切除逐渐过渡到观察随访、立体定向放射治疗和手术切除的一体化综合策略，并对面神经和蜗神经功能保留提出了更高要求。神经外科医师应重视神经功能保护，积极开展现代听神经瘤外科。

关键词: 神经瘤,听, 面神经, 耳蜗神经, 耳鼻喉外科手术, 综述

Abstract: Vestibular schwannoma is the most common intracranial schwannoma. The treatment concept is changing from simple surgical resection to the integrated strategy of observation and follow-up, stereotactic radiotherapy (SRT) and surgical resection. Higher requirements are put forward for the function perservation of the facial nerve and the cochlear nerve. Neurosurgeons should pay attention to the protection of nerve function and actively develop modern vestibular schwannoma surgery.

Key words: Neuroma, acoustic, Facial nerve, Cochlear nerve, Otorhinolaryngologic surgical procedures, Review