Extracranial non-vestibular head and neck schwannomas
Open Access
- 1 November 2015
- journal article
- Published by Saudi Medical Journal in SciVee
- Vol. 36 (11), 1363-1366
- https://doi.org/10.15537/smj.2015.11.12314
Abstract
To retrospectively describe our 10-year experience with extracranial non-vestibular head and neck schwannomas by presenting their clinical features, diagnostic methods, surgical decisions, and treatment outcomes. This is a retrospective study conducted at the Department of Otolaryngology, Head and Neck Surgery, Shanghai Jiao Tong University Affiliated Shanghai First People's Hospital, Shanghai, China. The medical records of 46 patients diagnosed with schwannoma in the extracranial head and neck region as confirmed on paraffin-embedded sections from January 2003 to December 2012 were reviewed.All tumors were benign, and 52% presented as asymptomatic palpable solitary masses. Compressive symptoms, which can represent meaningful indicators of the nerve of origin were commonly noted. The most common nerve of origin was the brachial plexus (n=13, 28.3%).While postoperative histopathologic examination is still the gold standard, fine needle aspiration cytology, CT scan, and magnetic resonance imaging may be useful in the diagnosis of schwannomas. As schwannomas are radioresistant, and as, despite their benign nature, can cause severe secondary symptoms, the best treatment of choice is complete excision with preservation of functions.Keywords
This publication has 7 references indexed in Scilit:
- An algorithm for treating extracranial head and neck schwannomasEuropean Archives of Oto-Rhino-Laryngology, 2014
- Experience of head and neck extracranial schwannomas in a whole population-based single-center patient seriesEuropean Archives of Oto-Rhino-Laryngology, 2014
- Short-term laryngeal electromyography and histopathological findings after primary reconstruction of the inferior laryngeal nerve in rabbits: prospective studyThe Journal of Laryngology & Otology, 2012
- A Rare Finding of Multiple Schwannomas in the EpiglottisOtolaryngology -- Head and Neck Surgery, 2012
- Cervical schwannoma: report of four cases.2012
- Extracranial head and neck schwannomas: a study of the nerve of originEuropean Archives of Oto-Rhino-Laryngology, 2011
- Management of facial nerve schwannoma: A single institution experienceActa Oto-Laryngologica, 2010