Sun Haiying, Hu Yujuan, Zhu Yun, Hu Juanjuan, Yuan Jie, He Zuhong, Cheng Huamao
Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Otorhinolaryngology-Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Front Oncol. 2024 Oct 23;14:1432835. doi: 10.3389/fonc.2024.1432835. eCollection 2024.
The surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here, we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a left neck mass underwent surgery. Initial misdiagnosis of submandibular gland inflammation led to persistent symptoms despite anti-inflammatory treatment. Imaging revealed a large lesion in the left cerebellar peduncle-neck-jugular foramen region (39.6 x 26.2 x 90 mm). The combination of retrosigmoid and transcervical approach was selected. Sufficient drilling of the infralabyrinthine, retrofacial area of the mastoid with facial nerve transposition is important for the safe gross total removal of the tumor. The patient underwent a gross total removal of the tumor. Facial nerve function was preserved. Although dysphagia and hoarseness complicated postoperatively, he became able to take foods orally after the surgery. In conclusion, this case underscores the successful surgical approach for a large jugular foramen Schwannoma, emphasizing the importance of precise techniques to achieve complete tumor resection while minimizing postoperative complications.
广泛的颈静脉孔神经鞘瘤的手术治疗是一项艰巨的挑战，目标是实现肿瘤全切除，同时将并发症降至最低。在此，我们报告一例巨大的三哑铃形颈静脉孔神经鞘瘤病例。一名45岁男性，有左侧颈部肿块病史1年，接受了手术。最初误诊为下颌下腺炎，尽管进行了抗炎治疗，症状仍持续存在。影像学检查显示左侧小脑脚-颈部-颈静脉孔区有一个大的病变（39.6×26.2×90mm）。选择了乙状窦后入路和经颈入路相结合的方法。对乳突迷路下、面神经后方区域进行充分磨除并进行面神经移位，对于安全地全切除肿瘤很重要。患者接受了肿瘤全切除。面神经功能得以保留。尽管术后出现吞咽困难和声音嘶哑，但术后他能够经口进食。总之，该病例强调了大型颈静脉孔神经鞘瘤成功的手术方法，强调了精确技术对于实现肿瘤完全切除同时将术后并发症降至最低的重要性。
