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The objectives of these guidelines are to establish the best evidence-based management of VSs, including initial otologic evaluation, imaging diagnosis, use of surgical techniques, assessment of tumor pathology, and the administration of radiation therapy. Because management of these tumors remains imperfect, it was also recommended that information on promising emerging therapies be assessed in the same manner to determine the possible application of these findings. Authors also discuss the planned update of these guidelines. J. Bradley Elder, MD Jeffrey J. Olson, MD Timothy C. Ryken, MD, MS