Lasers in Medical Science

, Volume 21, Issue 4, pp 235–237 | Cite as

Schwannoma of tongue base treated with transoral carbon dioxide laser

  • H. Mehrzad
  • R. Persaud
  • N. Papadimitriou
  • S. Kaniyur
  • G. Mochloulis
Original Article

Abstract

Schwannomas are benign slow growing solitary tumours of nerve sheath origin and can arise from any myelinated nerve. They have been reported to occur in most parts of the body with the highest incidence (25%) in the head and neck region, although tongue base lesions are rare. The tumour is resistant to radiotherapy, and therefore, the treatment of choice is surgery. We present a case of a tongue base schwannoma which was completely extirpated with a carbon dioxide laser via the transoral approach. The patient experienced virtually no morbidity from the use of the laser. Whilst tongue base schwannoma has been documented, we could not find an earlier report in the English literature describing our method of treatment. We conclude that transoral carbon dioxide laser can be added to the surgical armamentarium for the management of other similar cases in the future.

Keywords

Schwannoma Neurilemmoma Tongue base Carbon dioxide laser Transoral 

Notes

Acknowledgement

We are grateful to Dr. Al Izzi for providing the histopathological photomicrographs.

References

  1. 1.
    Enzinger FM, Weiss SW (1988) Benign tumours of the peripheral nerves, 2nd edn. In: Soft tissue tumours. The CV Mosby Company, St Louis, pp 725–35Google Scholar
  2. 2.
    Williams HK, Cannell H, Silvester K, Williams DM (1993) Neurilemmoma of the head and neck. Br J Oral Maxillofac Surg 31(1):32–35PubMedCrossRefGoogle Scholar
  3. 3.
    Khalifa MC, Bassyouni A (1981) Nasal schwannoma. J Laryngol Otol 95:503–507PubMedGoogle Scholar
  4. 4.
    Nakasato T, Kamada Y, Ehara S, Miura Y (2005) Multilobular neurilemmoma of the tongue in a child. Am J Neuroradiol 26:421–423PubMedGoogle Scholar
  5. 5.
    Bassichis BA, McClay JE (2004) Pedunculated neurilemmoma of the tongue base. Otolaryngol Head Neck Surg 130:639–641PubMedCrossRefGoogle Scholar
  6. 6.
    Shugar JM, Som PM, Biller HF, Som ML, Krespi YP (1981) Peripheral nerve sheath tumors of the paranasal sinuses. Head Neck Surg 4(1):72–76PubMedGoogle Scholar
  7. 7.
    Spandow O, Fagerlund M, Bergmark L, Boquist L (1999) Clinical and histopathological features of a large parapharyngeal neurilemmoma located at the base of the tongue. ORL J Otorhinolaryngol Relat Spec 61:25–30PubMedGoogle Scholar
  8. 8.
    Lufkin RB, Wortham DG, Dietrich RB, Hoover LA, Larson SG, Kangarloo H, Hanafee WN (1986) Tongue and oropharynx: findings on MR imaging. Radiology 161:69–75PubMedGoogle Scholar
  9. 9.
    Persaud R, Tudge S, Amonoo-Kuofi, Beale T, O’Flynn (2005) Parapharyngeal granular cell tumour: a unique surgical challenge. J Laryngol Otol 119:68–70PubMedCrossRefGoogle Scholar
  10. 10.
    Persaud R, Tudge S, O’Flynn (2006) Surgical dissection tools in otolaryngology, head and neck surgery: an overview. CME Bulletin-Otolaryngol, Head Neck Surg (in press)Google Scholar

Copyright information

© Springer-Verlag London Limited 2006

Authors and Affiliations

  • H. Mehrzad
    • 1
    • 2
  • R. Persaud
    • 1
    • 3
  • N. Papadimitriou
    • 1
    • 4
  • S. Kaniyur
    • 1
    • 5
  • G. Mochloulis
    • 1
    • 4
  1. 1.Department of Otolaryngology, Head and Neck SurgeryLister HospitalHertsUK
  2. 2.LondonUK
  3. 3.Department of Ears, Nose, and ThroatWhipps Cross HospitalLondonUK
  4. 4.Department of Ears, Nose, and ThroatLister HospitalHertsUK
  5. 5.Department of RadiologyLister HospitalHertsUK

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