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Extra Vestibular Schwannoma: A Two Year Experience

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Abstract

We present series of head, neck extracranial non-vestibular schwannomas treated during 2-year period. All patients with head and neck schwannomas treated at our department from April 2007 to July 2009 were reviewed. There was female predominance (72%). The mean age at diagnosis was 38 years. All (100%) presented with a neck mass. Most common nerves of origin were the vagus and the cervical sympathetic chain. Treatment for all cases was complete excision with nerve preservation. Among all schwannoma patients, postoperative neural deficit occurred in four with partial to complete resolution in three. The follow-up period was 24 months. Non-vestibular extracranial head and neck schwannomas most frequently present as an innocuous longstanding unilateral parapharyngeal neck mass. Preoperative diagnosis may be aided by fine-needle cytology and magnetic resonance imaging or computed tomographic imaging. The mainstay of treatment is complete intracapsular excision preserving the nerve of origin.

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References

  1. Chang SC, Schi YM (1984) Neurilemmoma of the vagus nerve: a case report and brief literature review. Laryngoscope 94:946–949

    Article  PubMed  CAS  Google Scholar 

  2. Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ et al (2000) Head and neck schwannomas—a 10-year review. J Laryngol Otol 114:119–124

    Article  PubMed  CAS  Google Scholar 

  3. Ford LC, Cruz RM, Rumore GJ, Klein J (2003) Cervical cystic schwannoma of the vagus nerve: diagnostic and surgical challenge. J Otolaryngol 32:61–63

    Article  PubMed  Google Scholar 

  4. Fujino K, Shinohara K, Aoki M, Hashimoto K, Omori K (2000) Intracapsular enucleation of vagus nerve-originated tumours for preservation of neural function. Otolaryngol Head Neck Surg 123:334–336

    Article  PubMed  CAS  Google Scholar 

  5. Gilmer-Hill HS, Kline DG (2000) Neurogenic tumours of the cervical vagus nerve: report of four cases and review of the literature. Neurosurgery 46:1498–1503

    Article  PubMed  CAS  Google Scholar 

  6. Beaman FD, Kransdorf MJ, Menke DM (2004) Schwannoma: radiologic-pathologic correlation. Radiographics 24:1477–1481

    Article  PubMed  Google Scholar 

  7. Yamazaki H, Kaneko A, Ota Y, Tsukinoki K (2004) Schwannoma of the mental nerve: usefulness of preoperative imaging: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:122–126

    Article  PubMed  Google Scholar 

  8. Furukawa M, Furukawa MK, Katoh K, Tsukuda M (1996) Differentiation between schwannoma of the vagus nerve and schwannoma of the cervical sympathetic chain by imaging diagnosis. Laryngoscope 106:1548–1552

    Article  PubMed  CAS  Google Scholar 

  9. Saito DM, Glastonbury CM, El-Sayed I, Eisele DW (2007) Parapharyngeal space schwannomas. Preoperative imaging determination of the nerve of origin. Arch Otolaryngol Head Neck Surg 133:662–667

    Article  PubMed  Google Scholar 

  10. Green JD Jr, Olsen KD, De Santo LW, Scheithauer BW (1988) Neoplasm of the vagus nerve. Laryngoscope 98:648–654

    Article  PubMed  Google Scholar 

  11. Leu YS, Chang KC (2002) Extracranial head and neck schwannomas: a review of 8 years experience. Acta Otolaryngol 122:435–437

    Article  PubMed  CAS  Google Scholar 

  12. Park CS, Suh KW, Kim CK (1991) Neurilemmomas of the cervical vagus nerve. Head Neck 15:439–441

    Article  CAS  Google Scholar 

  13. Liu R, Fagan P (2001) Facial nerve schwannoma: surgical excision versus conservative management. Ann Otol Rhinol Laryngol 110:1025–1029

    PubMed  CAS  Google Scholar 

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Correspondence to Saurabh Garge.

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Lahoti, B.K., Kaushal, M., Garge, S. et al. Extra Vestibular Schwannoma: A Two Year Experience. Indian J Otolaryngol Head Neck Surg 63, 305–309 (2011). https://doi.org/10.1007/s12070-011-0154-5

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  • DOI: https://doi.org/10.1007/s12070-011-0154-5

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