Patel VA, et al. - In the present study, the researchers sought to describe current perspectives in the surgical management of vestibular schwannoma (VS) to assist otolaryngologists in understanding the patterns of practice in the United States. Using ICD-9/10 codes 225.1 and D33.3, respectively, a retrospective analysis of ACS-NSQIP database was conducted to abstract all individuals from 2008 to 2016 who had VS resection. In total, 1,671 VS cases were identified, 1,266 were RS, 292 were TL, and 114 were MCF. Findings suggested that RS approach is increasingly utilized for operative management of VS, which is likely the result of increased reliance on both stereotactic radiosurgery and observation as alternative treatment strategies.