두경부에 발생한 신경초종에 대한 임상적 고찰

임상호; 이경석; 황병언; 박희택; 양윤수; 홍기환

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자료유형: 학술저널

저자정보: 임상호 이경석 황병언 박희택 양윤수 홍기환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제4호

발행연도: 2011.1

수록면: 278 - 282 (5page)

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Background and Objectives Neurogenic tumors in the head and neck are relatively rare and constitute around 0.5% of all head and neck tumors. Schwannoma, among neurogenic tumors, is a benign tumor originating from the spinal nerve root, peripheral nerve and all kinds of cranial nerves except the optic nerve and olfactory nerve. By presenting a series of head and neck schwannomas treated during a fifteen-year period, we aimed to analyze the clinical features, diagnosis, treatment and prognosis of schwannomas retrospectively. Subjects and Method We retrospectively reviewed and analyzed clinical records of 34 patients with head and neck schwannomas who were treated surgically at the University Hospital from January, 1995 to January, 2010. Results We found 34 cases of schwannoma in the head and neck. Among the patients, 14 were males and 20 were females. The most common age group was the 60’s while the most common site was the parapharyngeal space. The most common presenting symptom was palpable neck mass and the mean duration of symptoms was 41.6 months. The most common nerve of origin was the cervical plexus (29.4%). Preoperative diagnostic tools were FNA, CT and MRI. All cases were treated surgically and the most common postoperative complication was both transient and permanent voice changes. The mean follow-up period was 18.3 months and recurrence was not found during this period. Conclusion Thirty-four cases of schwannoma in the head and neck were presented with respect to their clinical features.

#Schwannoma in head and neck ㆍClinical analysis.

참고문헌 (18)

참고문헌 신청

Apte BP / 1969 / Neurilemmoma of the pharynx / J Laryngol Otol 83 (4) : 387 ~ 391

Asaoka K / 1999 / Schwannoma of the oculomotor nerve: a case report with consideration of the surgical treatment / Neurosurgery 45 (3) : 630 ~ 633

Carinci F / 2000 / Schwannoma of the parapharyngeal space / J Craniofac Surg 11 (4) : 367 ~ 370

Chang SC / 1984 / Neurilemmoma of the Vagus nerve.A Case Reportand Brief Literature Review / Laryngoscope 94 (7) : 946 ~ 949

Fournier J / 1979 / Neurilemmoma of the parapharyngeal space.Report of three cases and review of the literature / J Otolaryngol 8 (5) : 439 ~ 442