What are the treatment options for auditory neuroma? The first treatment strategy for auditory neuroma is surgery. For those who are not suitable for surgery, stereotactic radiosurgery can be considered. 1.Surgical treatment is the first treatment method, the purpose is to strive for complete resection of the tumor, reduce the mortality rate and complications of surgery, incomplete resection should be supplemented with stereotactic radiation therapy. The common surgical approaches are posterior suboccipital sigmoid sinus approach and transvagal approach. For larger auditory neuroma, posterior occipital sigmoid sinus craniotomy is the most popular choice. The transvagal approach is mostly used for smaller tumors; the advantage is that it directly opens the pontocerebellar peduncle, does not pull the cerebellum, and can clearly determine the anatomical location of the facial nerve at the bottom of the internal auditory canal; the disadvantage is that hearing cannot be preserved. 2.Stereotactic radiation therapy is mainly used for patients who are older, in poor physical condition or unwilling to undergo surgery; it is mainly applied to solid vestibular nerve sheath tumors with diameter <3cm; tumor shrinkage usually starts to appear 6~8 months after treatment and peaks at 24~36 months; the main side effects are facial nerve and trigeminal nerve dysfunction. What are the possible complications after auditory neuroma surgery? 1. The most common complication after auditory neuroma surgery is facial nerve dysfunction. Large auditory neuromas often have difficulty in preserving facial nerve function and are prone to facial palsy after surgery. For those who require high facial expression, they can undergo phase I repair or facial-subglottic nerve and facial-paraneoplastic nerve anastomosis after 2~4 weeks. Hearing loss or hearing loss, most of the large auditory neuromas have no available hearing before surgery. Although small auditory neuromas can be resected through the vagus approach, which can avoid direct opening of the pontocerebellar peduncle and does not involve the cerebellum, the main drawback is that hearing cannot be preserved. 3.Difficulty in swallowing, hoarseness, choking and coughing of water and other posterior group cranial nerve symptoms. 4.Intracranial infection. 5. Brain crest fluid leakage Such as brain crest fluid nasal leakage, brain crest fluid ear leakage and wound leakage. 6. Intracranial hematoma, cerebellar contusion.