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An algorithm for treating extracranial head and neck schwannomas.

Daniel Yafit1, Gilad Horowitz, Iosif Vital

  • 1Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
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Summary

Extracranial head and neck schwannomas (ECHNS) management involves surgical risks. This study offers a decision-making algorithm for ECHNS treatment, highlighting surgical outcomes and potential deficits.

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Area of Science:

  • Neurosurgery
  • Oncology
  • Head and Neck Surgery

Background:

  • Extracranial head and neck schwannomas (ECHNS) pose significant management challenges.
  • Surgical resection can lead to major morbidity, necessitating careful therapeutic decision-making.

Purpose of the Study:

  • To present a large case series of ECHNS management.
  • To develop and propose an algorithm for guiding therapeutic decisions in ECHNS patients.

Main Methods:

  • Retrospective review of clinical records for 53 ECHNS patients treated between 1999 and 2012.
  • Data extraction included demographics, symptoms, surgical approaches, complications, and follow-up.

Main Results:

  • All 53 patients underwent surgical treatment.
  • Postoperative neurological deficits occurred in 60% of patients.
  • Tumor origins varied, including brachial plexus, sympathetic chain, and cranial nerves.

Conclusions:

  • The study provides a clinical algorithm to aid in ECHNS management decisions.
  • The role of radiotherapy for ECHNS, particularly in non-surgical candidates, requires further investigation.