Bhayani Mihir K, MacCracken Ellen, Frim David, Baroody Fuad M
Section of Otolaryngology-Head and Neck Surgery, Pritzker School of Medicine, University of Chicago, Chicago, IL 60637, USA.
Pediatr Neurosurg. 2008;44(1):71-4. doi: 10.1159/000110668. Epub 2007 Dec 14.
Cervical vagal schwannomas are rare pediatric head and neck neoplasms that present a surgical challenge if the nerve is intimately involved with the mass. In some instances, resection of the vagus nerve with the mass is required. This will usually result in vocal cord paralysis and uncommonly dysphagia due to unilateral cricopharyngeal spasm. We present a case in which these two complications resulted in significant dysphagia and aspiration, which improved with expectant management.
颈段迷走神经鞘瘤是罕见的儿童头颈部肿瘤，如果肿瘤与神经紧密相连，则会带来手术挑战。在某些情况下，需要将肿瘤与迷走神经一并切除。这通常会导致声带麻痹，偶尔也会因单侧环咽肌痉挛引起吞咽困难。我们报告了一例因这两种并发症导致严重吞咽困难和误吸的病例，通过保守治疗后症状有所改善。
