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Parapharyngeal neurilemmomas.

N Bradley1, J E Bowerman

  • 1Department of Oral & Maxillofacial Surgery, Queen Mary's University Hospital, Roehampton, London.

The British Journal of Oral & Maxillofacial Surgery
|April 1, 1989
PubMed
Summary

Parapharyngeal neurilemmomas, rare benign tumors, can arise from cranial nerves like the vagus and hypoglossal nerves. Surgical access and nerve preservation present unique challenges in these uncommon cases.

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Area of Science:

  • Neurosurgery
  • Head and Neck Oncology
  • Pathology

Background:

  • Parapharyngeal neurilemmomas are rare benign neoplasms originating from nerve sheath cells.
  • These tumors can arise from various cranial nerves, including the vagus and hypoglossal nerves, presenting diagnostic and surgical challenges.
  • Understanding the anatomical location and nerve of origin is crucial for surgical planning.

Observation:

  • This report details two cases of parapharyngeal neurilemmomas.
  • One tumor originated from the vagus nerve, and the other from the hypoglossal nerve.
  • Surgical access to the vagal nerve tumor required an osteotomy at the mandibular angle.

Findings:

  • Complete tumor resection was achieved in both cases.
  • Nerve preservation or grafting, theoretically possible, was deemed impractical for these specific patient cases.
  • The study discusses the reasons for the impracticality of nerve-sparing techniques in these instances.

Implications:

  • The findings highlight the complex surgical considerations for parapharyngeal neurilemmomas.
  • Case-specific factors can influence the feasibility of nerve-preserving surgical techniques.
  • This study contributes to the understanding of managing rare cranial nerve tumors in the parapharyngeal space.

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