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Function-sparing intracapsular enucleation of cervical schwannomas
James L Netterville1, Kelly Groom
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt Medical Center, Nashville, Tennessee, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|February 20, 2015
Summary
Intracapsular enucleation of cervical schwannomas is a safe and effective oncologic treatment. This function-sparing approach significantly improves functional outcomes, preserving voice and motor function in most patients.
Area of Science:
- Neurosurgery
- Oncology
- Head and Neck Surgery
Background:
- Cervical schwannomas are rare tumors arising from peripheral nerves.
- Surgical resection is the primary treatment, with a focus on preserving neurological function.
Purpose of the Study:
- To evaluate the safety and efficacy of intracapsular enucleation for cervical schwannomas.
- To assess function-sparing tumor resection outcomes.
Main Methods:
- Retrospective review of cervical schwannoma cases.
- Analysis of intracapsular enucleation procedures and functional outcomes.
Main Results:
- 43 tumors analyzed: vagal (20), sympathetic (13), brachial plexus (6), cervical plexus (2).
- Vagal schwannoma enucleation (16 cases) resulted in near-normal/normal voice in 15 patients at 1 year.
- Brachial plexus schwannoma enucleation (4 cases) showed no postoperative motor deficits.
Conclusions:
- Intracapsular enucleation is an effective oncologic treatment for cervical schwannomas.
- The procedure offers significant improvement in functional outcomes, including voice and motor function preservation.
