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舌根部神经鞘瘤——采用新型重建技术的病例报告

Schwannoma base of Tongue - Case Report with a Novel Reconstruction Technique.

作者信息

Mary Samuel Deepa, Thomas Shaji, Janardhanan Deepak, Moideen Sanu P

机构信息

KIMS Hospital, Kottayam, Kerala India.

Department of Head and Neck Oncology, Regional Cancer Centre, Trivandrum, 695 011 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1018-1022. doi: 10.1007/s12070-023-04051-2. Epub 2023 Aug 10.

Abstract

INTRODUCTION

Schwannomas are benign, slow-growing well-encapsulated neoplasms arising from Schwann cells of nerve sheaths. Oral cavity schwannomas are very rare with an incidence less than 1%. The posterior third of the tongue is not frequently involved.

CASE REPORT

We report a rare case of a large tongue base schwannoma in a 44 year old female managed surgically by lateral pharyngotomy approach. A novel reconstruction method involving the use of submental flap is described for the functional reconstruction of the defect.

CONCLUSION

Being a rare tumor, schwannoma should not be missed in the differential diagnosis of tongue base tumors. Complete surgical resection is the treatment of choice with recurrence being very rare.

摘要

引言

施万细胞瘤是起源于神经鞘雪旺细胞的良性、生长缓慢且包膜完整的肿瘤。口腔施万细胞瘤非常罕见,发病率低于1%。舌后三分之一较少受累。

病例报告

我们报告一例44岁女性巨大舌根施万细胞瘤的罕见病例,采用外侧咽切开术进行手术治疗。描述了一种涉及使用颏下皮瓣的新型重建方法,用于缺损的功能重建。

结论

作为一种罕见肿瘤,在舌根肿瘤的鉴别诊断中不应漏诊施万细胞瘤。完整的手术切除是首选治疗方法,复发非常罕见。

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