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目的 :探讨头颈部神经鞘瘤的临床特征 ,以提高对头颈部神经鞘瘤的诊治水平。方法 :2 3例均行手术切除 ,其中颈侧切开切除颈部肿瘤 15例 ,鼻侧切开切除鼻腔肿瘤 1例 ,经口径路切除肿瘤 3例 ,2例面神经鞘瘤分别经中耳乳突中后颅窝联合径路和乳突根治径路切除 ,1例位于梨状窝的神经鞘瘤在食管镜下钳取完整取出 ,1例气管内神经鞘瘤行气管切开切除。结果 :2 0例术后随访 3个月～ 7年 ,19例无复发 ;1例鼻腔、鼻窦肿瘤术后 3年复发。 1例术后出现霍纳征 ,2个月后消失 ,1例术后出现声嘶。结论 :神经鞘瘤术前诊断困难 ,确诊有赖于病理检查 ;一旦确诊应尽早手术完整摘除 ,尽可能保护神经功能 ,避免并发症的发生
Objective: To investigate the clinical features of head and neck schwannoma in order to improve the diagnosis and treatment of head and neck schwannoma. Methods: Twenty-three cases underwent surgical resection. Among them, 15 cases of neck tumor were excised on the lateral neck, 1 case was nasal cavity excision and resection of the nasal cavity, 3 cases were removed by calvarial approach, 2 cases of facial nerve sheath tumor were treated by middle ear milk In the middle of the posterior fossa combined with pathology and radical mastoidectomy, one case of schwannoma located in the pyriform sinus was surgically removed by forceps and one case of trachea was removed by tracheotomy. Results: Twenty cases were followed up for 3 months to 7 years. There was no recurrence in 19 cases. One case of nasal cavity and sinus tumor recurred after 3 years. One patient had Horner sign after operation, disappeared after 2 months, and one patient had hoarseness after operation. Conclusion: The diagnosis of schwannoma is difficult to diagnose before operation. The diagnosis depends on the pathological examination. Once the diagnosis is complete, the complete removal of the operation should be done as soon as possible to protect the neurological function and prevent the occurrence of complications