Management Of Extracranial Schwannomas In Head And Neck Region - An Observational Study

Authors

Sambit Shubham Behera, SCB MEDICAL COLLEGEFollow
Krishna Arpita Sahoo, SCB MEDICAL COLLEGEFollow
Chinmaya Sundar Ray, PANDIT RAGHUNATH MURMU MEDICAL COLLEGE, BARIPADA,ORISSA,INDIAFollow
Shreyas V, SCB MEDICAL COLLEGE, CUTTACK, ORISSA, INDIAFollow
Nandigam Nithin Kumar, SCB MEDICAL COLLEGE, CUTTACK, ORISSA, INDIAFollow

Author ORCID Identifier

http://orcid.org/0009-0007-1874-9772

Corresponding Author

Dr. Shreyas V.

shreyas.chui@gmail.com

Abstract

ABSTRACT

Background: Schwannomas, benign tumors arising from Schwann cells, often manifest as slow-growing lesions in the peripheral nerve sheath. While typically asymptomatic, they can affect cranial and peripheral nerves. Surgical excision is the primary treatment, but preserving nerve function poses challenges.

Methods: This retrospective study analyzed 12 cases of benign head and neck schwannomas diagnosed at Department of ENT, SCB Medical College, Orissa, India between 2021 and 2023. Data encompassed patient demographics, tumor characteristics, diagnostic methods, surgical approaches, histopathology, and follow-up outcomes. Pre-operative investigations included Fine Needle Aspiration Cytology, Ultrasonography, and imaging.

Results: Predominantly middle-aged and male patients presented with painless swelling, commonly in the cervical region, tongue, nose, and hard palate. Mean symptom duration was 8.5 months. Imaging depicted characteristic features, guiding surgical planning. Various approaches ensured complete excision, preserving nerve function. Histopathology confirmed the diagnosis, with positive S-100 staining. No cases showed malignancy or recurrence during follow-up.

Conclusions: Head and neck schwannomas, though rare, present diagnostic and management challenges. Pre-operative diagnosis relies on imaging and biopsy, with surgical excision essential for treatment. Nerve preservation minimizes post-operative complications. Despite diagnostic difficulties, maintaining a high index of suspicion for schwannomas in patients with painless, slow-growing swellings is crucial.

Publication Date

2024

Publisher

JSS Academy of Higher Education & Research

Conflict of Interest

No Conflict of interests

Keywords

Schwannoma, Extracranial, Antoni A, Antoni B

Word Count

2745

Recommended Citation

Behera SS, Sahoo KA, Ray CS, V S, Kumar NN. Management Of Extracranial Schwannomas In Head And Neck Region - An Observational Study. Digital Journal of Clinical Medicine. 2024; 6(2): -. doi: https://doi.org/10.55691/2582-3868.1156

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.