Munson Health
Related Information
Acoustic Neuroma Removal

Back to Document

by Chwistek M

(Neurilemmoma; Vestibular Schwannoma)



An acoustic neuroma is a noncancerous tumor. It grows on the acoustic nerve, which runs from the brain to the ear. This type of tumor typically grows slowly. It may cause hearing loss, balance problems, facial numbness, and headaches.
The Acoustic Nerve
Nucleus factsheet image
Copyright © Nucleus Medical Media, Inc.
There are three main treatment options for an acoustic neuroma:
This fact sheet focuses on microsurgical removal.

Possible Complications

Side effects may be temporary or permanent. If you are planning to have this surgery, your doctor will review a list of possible complications. These may include:
Some factors that may increase the risk of complications include:
  • Smoking
  • Increased age
  • Size of the tumor

What to Expect

Prior to Procedure

The following medicines may be given before the procedure:
  • Steroids—usually started 48 hours before surgery
  • Antibiotic—given by IV right before surgery
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure. These may include:
  • Anti-inflammatory medication
  • Blood thinners
  • Anti-platelet medication


General anesthesia will be used. You will be asleep.

Description of the Procedure

The type of procedure will depend on your condition. Factors such as hearing status and the size and location of the tumor will be considered. One of the following surgical methods will be selected:
This approach is often used when you already have significant hearing loss. The mastoid bone in the skull and bone in the inner ear will be removed. This allows access to the ear canal and the tumor.
An opening will be made in the skull behind the ear. This approach is used for large or small tumors. It makes it easier to see and protect the nerves during surgery.
Middle Fossa
The tumor will be removed from the upper surface of the ear canal. This approach is used when there is a good chance that hearing may be maintained.

Immediately After Procedure

You will spend at least one night in the intensive care unit for care and observation.

How Long Will It Take?

The surgery takes about 6-12 hours. The exact length will depend on the size and location of the tumor.

How Much Will It Hurt?

Anesthesia will prevent pain during the procedure. You may notice pain after the procedure. Talk to your doctor about medications to help manage the pain.

Average Hospital Stay

The usual length of stay is 4-7 days. Your stay may be longer if there are complications.

Post-procedure Care

At the Hospital
During recovery, you may have some of the following:
  • Head discomfort
  • Fatigue and sleepiness
  • Emotional lows
  • Headache
  • Lightheadedness
  • Nausea
Staff will help you manage these problems.
At Home
When you return home, follow these guidelines for a safe recovery:
  • Keep the incision area clean and dry.
  • Do not drive until your doctor allows it.
  • Ask your doctor when you will be able to return to work.
  • Ask your doctor when it is safe for you to shower, bathe, or soak in water.
  • Take medications as instructed.
Full recovery typically takes 4-6 weeks. MRI scans will be done regularly over the next several years. The scans will check to see if the tumor returns.


Acoustic Neuroma Association

American Academy of Audiology



Canadian Academy of Audiology

The College of Family Physicians of Canada



Acoustic neuroma. American Hearing Research Foundation. Available at: Accessed June 25, 2013.

Acoustic neuroma. Vestibular Disorders Association. Available at: Accessed June 25, 2013.

Bennett M, Haynes DS. Surgical approaches and complications in the removal of vestibular schwannomas. Otolaryngol Clin North Am. 2007;40(3):589-609.

Vestibular schwannoma. EBSCO DynaMed website. Available at: Updated June 19, 2013. Accessed June 25, 2013.

What is acoustic neuroma? Acoustic Neuroma Association website. Available at: Accessed June 25, 2013.

6/2/2011 DynaMed's Systematic Literature Surveillance. Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.


Revision Information