A literature review on surgery for cervical vagal schwannomas
Open Access
- 29 March 2015
- journal article
- review article
- Published by Springer Science and Business Media LLC in World Journal of Surgical Oncology
- Vol. 13 (1), 1-4
- https://doi.org/10.1186/s12957-015-0541-6
Abstract
Cervical vagal schwannoma is a benign, slow-growing mass, often asymptomatic, with a very low lifetime risk of malignant transformation in general population, but diagnosis is still a challenge. Surgical resection is the treatment of choice even if its close relationship with nerve fibres, from which it arises, threats vagal nerve preservation. We present a case report and a systematic review of literature. All studies on surgical resection of cervical vagal schwannoma have been reviewed. Papers matching the inclusion criteria (topic on surgical removal of cervical vagal schwannoma, English language, full text available) were selected. Fifty-three patients with vagal neck schwannoma submitted to surgery were identified among 22 studies selected. Female/male ratio was 1.5 and median age 44 years. Median diameter was 5 cm (range 2 to 10). Most schwannoma were asymptomatic (68.2%) and received an intracapsular excision (64.9%). Postoperative symptoms were reported in 22.6% of patients. Cervical vagal schwannoma is a benign pathology requiring surgical excision, but frequently postoperative complications can affect patients lifelong, so, surgical indications should be based carefully on the balance between risks and benefits.Keywords
This publication has 28 references indexed in Scilit:
- Diagnosis and Management of Extracranial Head and Neck Schwannomas: A Review of 27 CasesInternational Journal of Otolaryngology, 2013
- Three Cases of Vagal Nerve Schwannoma and Review of LiteratureIndian Journal of Otolaryngology and Head & Neck Surgery, 2011
- Extra Vestibular Schwannoma: A Two Year ExperienceIndian Journal of Otolaryngology and Head & Neck Surgery, 2011
- Extracranial head and neck schwannomas: a study of the nerve of originEuropean Archives of Oto-Rhino-Laryngology, 2011
- Schwannoma in Head and Neck: Preoperative Imaging Study and Intracapsular Enucleation for Functional Nerve PreservationYonsei Medical Journal, 2010
- Prolonged Cricopharyngeal Muscle Spasm after Resection of the Cervical Vagus Nerve in a 15-Year-OldPediatric Neurosurgery, 2007
- Cerebral Infarction Due to Carotid Occlusion Caused by Cervical Vagal NeurilemmomaStroke, 2002
- Neurinomas of the cervical sympathetic system with report of a caseBritish Journal of Surgery, 1953
- Neurinoma of cervical sympathetic chainBritish Journal of Surgery, 1949
- A case of neurinoma of the vagus nerve in the neckBritish Journal of Surgery, 1948