Parapharyngeal space schwannoma of hypoglossal nerve

Parapharyngeal schwannomas are rare benign neoplasms located in a difficult anatomical region. Most of them are asymptomatic and some presents late. Neurological deficit is a late finding, and it occurs only when the lesion is very large and compresses contiguous structures. Computed tomography (CT)...

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Main Authors: Surya Kanta Pradhan, Sanjeev Gupta, Manas R Baisakh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Orofacial Sciences
Subjects:
Online Access:http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=1;spage=46;epage=48;aulast=Pradhan
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author Surya Kanta Pradhan
Sanjeev Gupta
Manas R Baisakh
author_facet Surya Kanta Pradhan
Sanjeev Gupta
Manas R Baisakh
author_sort Surya Kanta Pradhan
collection DOAJ
description Parapharyngeal schwannomas are rare benign neoplasms located in a difficult anatomical region. Most of them are asymptomatic and some presents late. Neurological deficit is a late finding, and it occurs only when the lesion is very large and compresses contiguous structures. Computed tomography (CT) guided fine needle aspiration cytology along with preoperative CT and magnetic resonance imaging can detect and diagnose it correctly and helps in proper planning and management. Total surgical excision is the treatment of choice. The approach is different as per the site, but trans-cervical approach is preferred. Recurrence is rare after complete excision. We are presenting a very rare parapharyngeal schwannoma arising from the hypoglossal nerve that was excised by trans-cervical approach without any complications and less morbidity as compared to other described approaches.
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spelling doaj.art-1403540cc0fe4293a43031a345dcf3142022-12-21T18:14:55ZengWolters Kluwer Medknow PublicationsJournal of Orofacial Sciences0975-88442015-01-0171464810.4103/0975-8844.157386Parapharyngeal space schwannoma of hypoglossal nerveSurya Kanta PradhanSanjeev GuptaManas R BaisakhParapharyngeal schwannomas are rare benign neoplasms located in a difficult anatomical region. Most of them are asymptomatic and some presents late. Neurological deficit is a late finding, and it occurs only when the lesion is very large and compresses contiguous structures. Computed tomography (CT) guided fine needle aspiration cytology along with preoperative CT and magnetic resonance imaging can detect and diagnose it correctly and helps in proper planning and management. Total surgical excision is the treatment of choice. The approach is different as per the site, but trans-cervical approach is preferred. Recurrence is rare after complete excision. We are presenting a very rare parapharyngeal schwannoma arising from the hypoglossal nerve that was excised by trans-cervical approach without any complications and less morbidity as compared to other described approaches.http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=1;spage=46;epage=48;aulast=PradhanComputed tomography scan, hypoglossal nerve, magnetic resonance imaging scan, parapharyngeal space, schwannoma, trans-cervical excision
spellingShingle Surya Kanta Pradhan
Sanjeev Gupta
Manas R Baisakh
Parapharyngeal space schwannoma of hypoglossal nerve
Journal of Orofacial Sciences
Computed tomography scan, hypoglossal nerve, magnetic resonance imaging scan, parapharyngeal space, schwannoma, trans-cervical excision
title Parapharyngeal space schwannoma of hypoglossal nerve
title_full Parapharyngeal space schwannoma of hypoglossal nerve
title_fullStr Parapharyngeal space schwannoma of hypoglossal nerve
title_full_unstemmed Parapharyngeal space schwannoma of hypoglossal nerve
title_short Parapharyngeal space schwannoma of hypoglossal nerve
title_sort parapharyngeal space schwannoma of hypoglossal nerve
topic Computed tomography scan, hypoglossal nerve, magnetic resonance imaging scan, parapharyngeal space, schwannoma, trans-cervical excision
url http://www.jofs.in/article.asp?issn=0975-8844;year=2015;volume=7;issue=1;spage=46;epage=48;aulast=Pradhan
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AT sanjeevgupta parapharyngealspaceschwannomaofhypoglossalnerve
AT manasrbaisakh parapharyngealspaceschwannomaofhypoglossalnerve