Author/Authors :
Gallo, Stefania Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi , Bandi, Francesco Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi , Maffioli, Marco-Paolo Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi , Giudice, Marco Department of Otorhinolaryngology - Ospedale Giovanni Borea , Sanremo , Castelnuovo, Paolo Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi , Fazio, Enrico Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi , Karligkiotis, Apostolos Department of Otorhinolaryngology - University of Insubria - Varese. ASST dei Sette Laghi - Ospedale di Circolo e Fondazione Macchi
Abstract :
Introduction: Retropharyngeal space schwannomas are rare entities. About 20-45% of schwannomas occur in the head and neck region; however, they represent less than 1% of all head and neck tumors. Case Report: We present the case of a 36-year-old woman complaining of dysphagia caused by a large schwannoma arising in the posterior pharyngeal wall with remarkable reduction of the oropharyngeal space. The tumor was resected through a combined transoral and cervicotomic transmandibular approach due to its dimension. No recurrence was observed after a two-year follow up. This case represents the thirteenth case reported in international literature. Conclusion: Preoperative settings for rare tumors such as retropharyngeal schwannomas should include radiological investigations and preoperative biopsy. In order to obtain a successful result in terms of radicality, a combined surgical approach may be necessary to completely control the extension of the lesion
Keywords :
Cervicotomic approach , Retropharyngeal space , Schwannoma , Transoral approach , Transmandibular approach