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  • Question: I had a large meningioma partially removed 5 years ago. Over this time what was left has invaded the bone and grown into my middle ear; it is now creeping towards my carotid artery. I have lost hearing, have balance problems, and the facial nerve is also now involved. At this time, what type of doctor would be best to manage the treatment - a neurosurgeon or neurotologist? Gamma has been approved but there is a question about who works with the radiation oncologist since it is a meningioma. It is not affecting the brain - it is working pretty good and my neurosurgeon told me this was an ENT problem. I have seen 2 radiation oncologists, 1 neurosurgeon, 1 ENT and 1 neurotologist. My insurance company has been pretty good until now. Surgery is not an option.
  • Answer:01/10/2010
    You need to go to a comprehensive brain tumor center that has expertise in skull base and neurovascular surgery. See and for lists of these centers in the USA and around the world.
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