Superiority of resection over enucleation for schwannomas of the cervical vagus nerve: A retrospective cohort study of 22 consecutive patients

Abstract

Resection is superior to enucleation in terms of freedom from local recurrence. Functional results are comparable for both techniques.

Surgical anatomy of the parapharyngeal space: Multiperspective, quantification‐based study

“…11,[26][27][28][29][30][31][32][33][34][35][36][37] Benign lesions are suitable for extracapsular enucleation or close-margin dissection (also called extracapsular dissection) according to the presence of a capsule and tendency to local invasion. 11,[26][27][28][29][30][31][32][33][34][35][36][37] Benign lesions are suitable for extracapsular enucleation or close-margin dissection (also called extracapsular dissection) according to the presence of a capsule and tendency to local invasion.…”

“…Besides the simple volumetric extent of a PPT, the biological behavior, vascularization of the lesion, and presence of critical relationships with neurovascular structures should be considered when planning a surgical approach to the PPS. 11,[26][27][28][29][30][31][32][33][34][35][36][37] Benign lesions are suitable for extracapsular enucleation or close-margin dissection (also called extracapsular dissection) according to the presence of a capsule and tendency to local invasion. In selected cases of schwannoma, an intracapsular cavitation can increase the working space and maneuverability of instruments.…”

Schwannoma of the descending loop of the hypoglossal nerve: Case report

“…As for Schwannomas arising from other cranial nerves, excision of the mass “en bloc” with the whole nerve is the best option in order to achieve a curative treatment [1], given that, limited to the descending loop of the hypoglossal nerve, this purpose can be reached without any functional impairment. The need for a curative resection is supported by the opportunity of avoiding a redo operation in case of recurrence and by the possibility that both primary and recurrent Schwannomas may potentially show an evolution towards sarcoma [1], [8], [12], [13], [14]. Technical tips of the reported case include the standard access through a presternocleidomastoid incision, as for a standard carotid endarterectomy, a separate control of CCA, ECA and ICA together with systemic heparinization, should the need for clamping of the carotid bifurcation arise.…”

“…Schwannomas are benign, slow-growing tumors of the neural sheath, which may affect cranial, sympathetic and peripheral nerves [1], [2], [3]. Extracranial and neck region are affected in 25–45% of the cases [2], [4], whereas Schwannomas arising from the descending loop of the hypoglossal nerve are extremely rare [5].…”

Schwannoma of the cervical vagus nerve: a rare case report

“…15 However, a comparison study by Giulio lluminati between en block excision and intracapsular excision favours enblock with a recurrence of 33% with intracapsular excision. 16 …”