Zhou Han, Xing Guangqian, Gao Xia, Wang Junguo, Chen Feng, Lu Lin, Zhang Yifen, Chen Zhibin, Qian Xiaoyun
Department of Otorhinolaryngology, Nanjing Drum Tower Hospital, Nanjing, PR China.
ORL J Otorhinolaryngol Relat Spec. 2015;77(2):61-9. doi: 10.1159/000374122. Epub 2015 Mar 17.
Compared with those in other head and neck regions, schwannomas in the nasal cavity or paranasal sinuses are rare. The aim of this study was to present the experience of the authors in 11 schwannoma cases of the sinonasal tract and pterygopalatine fossa over a decade.
A retrospective study from 2003 to 2014.
Three female and 8 male patients from 22 to 61 years of age (mean age 42 years) were admitted. The most common complaints were unilateral nasal congestion. A total of 10 of the patients received surgery, including 6 functional endoscopic sinus surgeries (FESS). The postoperative course was generally uneventful. Among the patients, 10 remained regionally asymptomatic, and there has been no clinical or radiological evidence of recurrence or residual tumor.
Surgical treatment is effective for schwannomas of the sinonasal tract and the pterygopalatine fossa with a low recurrence rate. Conducting CT and MRI (particularly fluid-attenuated inversion recovery) before surgery is mandatory. FESS could become the primary treatment of choice.
与头颈部其他区域的神经鞘瘤相比，鼻腔或鼻窦神经鞘瘤较为罕见。本研究的目的是介绍作者在过去十年中对11例鼻窦和翼腭窝神经鞘瘤的治疗经验。
对2003年至2014年进行回顾性研究。
收治了3例女性和8例男性患者，年龄在22岁至61岁之间（平均年龄42岁）。最常见的症状是单侧鼻塞。共有10例患者接受了手术，其中6例进行了功能性鼻内镜鼻窦手术（FESS）。术后过程一般顺利。在这些患者中，10例在局部无任何症状，且无临床或影像学证据表明有复发或残留肿瘤。
手术治疗对鼻窦和翼腭窝神经鞘瘤有效，复发率低。术前必须进行CT和MRI（特别是液体衰减反转恢复序列）检查。FESS可成为主要的治疗选择。
