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Neurilemmomas of the cervical vagus nerve

✍ Scribed by Dr. Cheong Soo Park; Kwang Wook Suh; Choon Kyu Kim


Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
278 KB
Volume
13
Category
Article
ISSN
1043-3074

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✦ Synopsis


Four patients were seen with neurilemmoma which arose in the cervical vagus nerve. Three tumors arose in the upper third of the lateral neck, and the remaining one in the lower third. Lateral neck mass was a prominent symptom in 3 patients, and parapharyngeal mass in the remaining one. The parapharyngeal mass bulged into the oropharynx in the tonsillar and retrotonsillar region and caused mild swallowig difficulty. Complete surgical extirpation by means of intracapsular enucleation was possible in all 4 patients. All patients remained free of disease for periods ranging from 15 to 75 months following surgery. It would appear that an intracapsular enucleation may be advisable for clearance of this kind of tumor.


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Objectives/Hypothesis: Selective reinnervation of the posterior cricoarytenoid muscle with a single phrenic nerve rootlet has been shown to restore physiologic motion in animal models. However, clinical translation of this work is challenged by the limited knowledge of the cervical anatomy of the ph