Mary Samuel Deepa, Thomas Shaji, Janardhanan Deepak, Moideen Sanu P
KIMS Hospital, Kottayam, Kerala India.
Department of Head and Neck Oncology, Regional Cancer Centre, Trivandrum, 695 011 India.
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1018-1022. doi: 10.1007/s12070-023-04051-2. Epub 2023 Aug 10.
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.
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.
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.
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。
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。
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。