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Face and neck neurogenic neoplasms

A D Katz1, C McAlpin

  • 1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

American Journal of Surgery
|October 1, 1993
PubMed
Summary

Neurogenic tumors in the head and neck can mimic other conditions. Recognizing their nerve origin is crucial to prevent permanent nerve damage during surgery.

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Archives of otolaryngology--head & neck surgery·1987

Area of Science:

  • Neurosurgery
  • Oncology
  • Nerve Surgery

Background:

  • Solitary neurogenic tumors in the head and neck can present as metastatic or congenital masses.
  • Failure to recognize the neurogenic origin of these tumors can lead to iatrogenic nerve damage.

Purpose of the Study:

  • To highlight the neurogenic origin of head and neck masses.
  • To emphasize the importance of nerve preservation during resection of these tumors.

Main Methods:

  • Retrospective review of 33 extracranial solitary neurogenic neoplasms in 32 patients.
  • Analysis of involved nerves including cranial nerves, brachial plexus, cervical sympathetic plexus, and major peripheral nerves.

Main Results:

  • The study identified 33 solitary neurogenic neoplasms in 32 patients (16 males, 16 females; age 5–69).
  • Nerves involved included cervical sympathetic plexus (7), brachial plexus (6), spinal accessory nerve (5), vagus nerve (4), hypoglossal nerve (3), and facial nerve (2).
  • Despite careful dissection, 4 patients with vagus nerve masses experienced permanent ipsilateral cord paralysis.

Conclusions:

  • Surgeons must consider neurogenic origin for head and neck masses near major nerves.
  • Unrecognized resection can cause significant, permanent nerve deficits.
  • Vagus nerve involvement carries a risk of vocal cord paralysis even with careful technique.

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