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To assess postoperative outcomes and predictive factors of patients observed prior to microsurgery and those undergoing upfront resection for small and medium-sized VS. Retrospective cohort. Tertiary referral center. VS patients who had microsurgery from 2003 to 2018 for tumors up to 2.5 cm. Postoperative outcomes including facial nerve function and interventions, complications, extent of resection, and salvage therapy. Of 220 patients, 120 were initially observed, and 100 pursued upfront microsurgery. There was no significant associat
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