Surgical management of extracranial nerve sheath tumours in a tertiary care center
Objective: Excision of the nerve sheath tumours of head and neck is always a challenge to the surgeon because of their close proximity of the neurovascular structures. Methods: It is a retrospective study contained 13 consecutive patients of nerve sheath tumours involving the head and neck from Marc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-06-01
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| Series: | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095881118301458 |
| _version_ | 1828308472023744512 |
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| author | Pradeep Pradhan Chappity Preetam Swagatika Samal Dillip Kumar Samal Pradipta Kumar Parida |
| author_facet | Pradeep Pradhan Chappity Preetam Swagatika Samal Dillip Kumar Samal Pradipta Kumar Parida |
| author_sort | Pradeep Pradhan |
| collection | DOAJ |
| description | Objective: Excision of the nerve sheath tumours of head and neck is always a challenge to the surgeon because of their close proximity of the neurovascular structures. Methods: It is a retrospective study contained 13 consecutive patients of nerve sheath tumours involving the head and neck from March 2013 to February 2017 in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care referral hospital. The retrospective clinical data, diagnostic procedures, surgical approaches and their complications are analyzed after 12 months of surgery. Results: Total 13 patients, 7 were females and 6 were males. Painless neck swelling was the most common presentation found in 6 and the most common site of origin was the vagus nerve in the parapharyngeal space (6 patients). Transcervical excision of the tumour was performed in 7 patients. Six needed combined surgical approach for the excision of the tumours. Neurovascular injury was detected in 3 patients, and one patient had recurrent disease during the follow-up period. Conclusions: Excision of the nerve sheath tumours of head and neck is always a challenge to the surgeon because of their close proximity of the neurovascular structure. Although the transcervical approach is commonly practiced for the majority of the tumours, combined approaches can be effectively applied for extensive nerve sheath tumours with the satisfactory clinical outcome. Keywords: Nerve sheath tumours, Surgical management, Outcome |
| first_indexed | 2024-04-13T15:12:47Z |
| format | Article |
| id | doaj.art-e953470debdf41628e9600f9a88c0c1a |
| institution | Directory Open Access Journal |
| issn | 2095-8811 |
| language | English |
| last_indexed | 2024-04-13T15:12:47Z |
| publishDate | 2019-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | World Journal of Otorhinolaryngology-Head and Neck Surgery |
| spelling | doaj.art-e953470debdf41628e9600f9a88c0c1a2022-12-22T02:41:57ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112019-06-01527681Surgical management of extracranial nerve sheath tumours in a tertiary care centerPradeep Pradhan0Chappity Preetam1Swagatika Samal2Dillip Kumar Samal3Pradipta Kumar Parida4Corresponding author.; Department of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, IndiaDepartment of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, IndiaDepartment of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, IndiaDepartment of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, IndiaDepartment of ENT and Head Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, IndiaObjective: Excision of the nerve sheath tumours of head and neck is always a challenge to the surgeon because of their close proximity of the neurovascular structures. Methods: It is a retrospective study contained 13 consecutive patients of nerve sheath tumours involving the head and neck from March 2013 to February 2017 in the department of Otorhinolaryngology and Head Neck Surgery in a tertiary care referral hospital. The retrospective clinical data, diagnostic procedures, surgical approaches and their complications are analyzed after 12 months of surgery. Results: Total 13 patients, 7 were females and 6 were males. Painless neck swelling was the most common presentation found in 6 and the most common site of origin was the vagus nerve in the parapharyngeal space (6 patients). Transcervical excision of the tumour was performed in 7 patients. Six needed combined surgical approach for the excision of the tumours. Neurovascular injury was detected in 3 patients, and one patient had recurrent disease during the follow-up period. Conclusions: Excision of the nerve sheath tumours of head and neck is always a challenge to the surgeon because of their close proximity of the neurovascular structure. Although the transcervical approach is commonly practiced for the majority of the tumours, combined approaches can be effectively applied for extensive nerve sheath tumours with the satisfactory clinical outcome. Keywords: Nerve sheath tumours, Surgical management, Outcomehttp://www.sciencedirect.com/science/article/pii/S2095881118301458 |
| spellingShingle | Pradeep Pradhan Chappity Preetam Swagatika Samal Dillip Kumar Samal Pradipta Kumar Parida Surgical management of extracranial nerve sheath tumours in a tertiary care center World Journal of Otorhinolaryngology-Head and Neck Surgery |
| title | Surgical management of extracranial nerve sheath tumours in a tertiary care center |
| title_full | Surgical management of extracranial nerve sheath tumours in a tertiary care center |
| title_fullStr | Surgical management of extracranial nerve sheath tumours in a tertiary care center |
| title_full_unstemmed | Surgical management of extracranial nerve sheath tumours in a tertiary care center |
| title_short | Surgical management of extracranial nerve sheath tumours in a tertiary care center |
| title_sort | surgical management of extracranial nerve sheath tumours in a tertiary care center |
| url | http://www.sciencedirect.com/science/article/pii/S2095881118301458 |
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