Extracranial Head and Neck Schwannomas.

IF 0.7 Q4 OTORHINOLARYNGOLOGY
Turkish Archives of Otorhinolaryngology Pub Date : 2025-06-19 Epub Date: 2025-04-17 DOI:10.4274/tao.2025.2024-12-3
Mehmet Birinci, Gökçe Aydın Balaban, Oğuzhan Okcu, Oğuz Gül, Tuğba Yemiş, Metin Çeliker, Özlem Çelebi Erdivanlı
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Abstract

Objective: Schwannomas are benign tumors originating from the nerve sheath. Extracranial schwannomas account for 25-45% of schwannomas in the head and neck region. This study aimed to evaluate the clinical presentation, diagnostic modalities, and postoperative outcomes of extracranial non-vestibular head and neck schwannomas and to discuss the findings in the context of the literature.

Methods: Medical records of patients who underwent surgical treatment for extracranial schwannomas between 2014 and 2022 were retrospectively reviewed. A total of 25 patients met the inclusion criteria and were included in the study.

Results: The mean age of the patients was 49 years, with a male-to-female ratio of 16/9. The most common presenting symptom was painless swelling. The face was the most affected site, followed by the oropharynx and scalp. Preoperative imaging was performed in nine patients, with ultrasound being the preferred modality. Preoperative biopsy was conducted in only two patients. The mean follow-up duration was 54 months, with no reported recurrences.

Conclusion: This study represents the largest national series of extracranial head and neck schwannomas, providing valuable insights into their clinical presentation, diagnostic approach, and long-term outcomes.

颅外头颈部神经鞘瘤。
目的:神经鞘瘤是一种起源于神经鞘的良性肿瘤。颅外神经鞘瘤占头颈部神经鞘瘤的25-45%。本研究旨在评估颅外非前庭头颈部神经鞘瘤的临床表现、诊断方式和术后结果,并在文献背景下讨论研究结果。方法:回顾性分析2014 ~ 2022年接受颅外神经鞘瘤手术治疗的患者病历。共有25例患者符合纳入标准并被纳入研究。结果:患者平均年龄49岁,男女比例为16/9。最常见的症状是无痛性肿胀。面部是受影响最严重的部位,其次是口咽和头皮。术前影像学检查9例,首选超声检查方式。只有2例患者进行了术前活检。平均随访时间54个月,无复发报告。结论:这项研究代表了全国最大的颅外头颈部神经鞘瘤系列,为其临床表现、诊断方法和长期预后提供了有价值的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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