Introduction: Retropharyngeal space schwannomas are rare entities. About 20-45% of schwannomas occur in the head and neck region; however, they represent less than 1% of all head and neck tumors. Case Report: We present the case of a 36-year-old woman complaining of dysphagia caused by a large schwannoma arising in the posterior pharyngeal wall with remarkable reduction of the oropharyngeal space. The tumor was resected through a combined transoral and cervicotomic transmandibular approach due to its dimension. No recurrence was observed after a two-year follow up. This case represents the thirteenth case reported in international literature. Conclusion: Preoperative settings for rare tumors such as retropharyngeal schwannomas should include radiological investigations and preoperative biopsy. In order to obtain a successful result in terms of radicality, a combined surgical approach may be necessary to completely control the extension of the lesion.

Retropharyngeal space schwannoma: A rare entity / Gallo, Stefania; Bandi, Francesco; Maffioli, Marco-Paolo; Giudice, Marco; Castelnuovo, Paolo; Fazio, Enrico; Karligkiotis, Apostolos. - In: IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY. - ISSN 2251-7251. - 29:6(2017), pp. 353-357. [10.22038/ijorl.2017.17753.1603]

Retropharyngeal space schwannoma: A rare entity

Karligkiotis, Apostolos
2017-01-01

Abstract

Introduction: Retropharyngeal space schwannomas are rare entities. About 20-45% of schwannomas occur in the head and neck region; however, they represent less than 1% of all head and neck tumors. Case Report: We present the case of a 36-year-old woman complaining of dysphagia caused by a large schwannoma arising in the posterior pharyngeal wall with remarkable reduction of the oropharyngeal space. The tumor was resected through a combined transoral and cervicotomic transmandibular approach due to its dimension. No recurrence was observed after a two-year follow up. This case represents the thirteenth case reported in international literature. Conclusion: Preoperative settings for rare tumors such as retropharyngeal schwannomas should include radiological investigations and preoperative biopsy. In order to obtain a successful result in terms of radicality, a combined surgical approach may be necessary to completely control the extension of the lesion.
2017
Cervicotomic approach
Retropharyngeal space
Schwannoma
Transmandibular approach
Transoral approach
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/174604
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