Hey folks,
I've only just found this forum, so I thought I'd introduce myself. I became one of your erstwhile colleagues on December 13th 2005 (about three weeks ago) when I had my acoustic neuroma (or vestibular schwannoma, as they prefer in France) removed. I'm a 32 year old man, and had just discovered in October that there was something more sinister that wax buildup causing my hearing loss. The tumour was confirmed with an MRI (30mm at the time) very quickly, and various pre-op tests were done within two months. The operation was performed here in Grenoble (the French gateway to the Alps) by Professors Gay and Schmerber. Prof Gay, the neurosurgeon, attempted a retrosigmoid at first (trying to save some of my hearing which was only -10dB compared to the other ear) but it gave insufficient view of the tumour, so after a couple of hours, he got the ENT (ORL in French) surgeon, Prof Schmerber, to start the trans-labrynthine approach.
Although the MRI showed very good seperation of the tumour from the (heavily distorted) brainstem, this was not the case when I was on the table. The surgeons had to sweat to debulk the tumour, using microtools, ultrasound, electrical cauterisation, etc etc. Although I was under for a few hours longer, the actual operation lasted 13 hours - a difficult time indeed for people around the globe who love me.
As you'll know better than I, the translab approach sacrifices the auditory nerve for the best access to the tumour, so I woke up deaf in one ear. However, the facial nerve was badly stretched around the tumour ('like a piece of spaghetti') and while physically preserved, lost all electrical activity during the op. I have 100% facial paralysis, which I am in the midst of adjusting to. I guess it takes a long time, and three weeks doesn't give me a lot of perspective - but I already detect the passing of the initial honeymoon period where I was generally happy to be alive (no doubt aided by copious quantities of morphine) and the entering of a phase where I am started to resent that I have left the hospital to all outward appearances worse than when I went in. Internally, that's another story - my MRI images are online somewhere - if anyone is interested, I'll point you to them.
Anyhow, my energy is fading. I did want to say 'hello' rather than just lurking, as would be my wont, and I'll be back soon. I thought I had learnt alot about this thing before the op, but I think the real learning is just beginning...
greg
Be kind, for everyone you meet is fighting a great battle - Philo of Alexandria