A Clinical Study of Schwannoma in Head and Neck |
Won Pyo Hong, MD, Won Sang Lee, MD, Hyoung Ok Kim, MD, and Kwang Hyun Chung, MD |
Department of Otolaryngology, Yonsei University College of Medicine, Korea |
두경부 신경초종에 대한 임상적 고찰 |
홍원표 · 이원상 · 김형옥 · 정광현 |
연세대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
The schwannoma is known to be originated from the schwann sheath of the nerve fibers. It is well-encapsulated, may prepicipiate symptoms by pressing the nerve fiber, and rarely recurs after removal. We studied retrospectively 19 patients who had been diagnosed as schwannoma pathologically after the operation in the E.N.T. department of the Severance Hospital from July, 1972 to September, 1986. The results were as follows ; 1) There was no predominance between sexes, and the most occurrences were in the 2nd or 5th decade. 2) The usual chief complaint was palpable mass(13 cases), which was followed by respiratory difficulty(2 cases), throat discomfort(2 cases), and so on. 3) The size of tumor was variable from 1×1.5 cm to 5×8×15 cm. 4) The predilection site was parapharyngeal space(5 cases) and tongue(5 cases). 5) The identified nerves of origin were cervical sympathetic chain(2 cases), vagus nerve(1 cases), cervical nerve(1 case), and cervical plexus(1 case). 6) Mostly performed surgical procedure was an excision(17 cases).
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