Vol.97 No.4 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 97 No. 4 April 2004
Huge Neurilemmoma of the Cervical Vagus Nerve
in the Parapharyngeal Space; A Case Report
Miyuki Marumo, Kazuhiko Shouji, Satoshi Ikegami,
Shinji Suzuki, You Kishimoto and Tsuyoshi Kojima
(Tenri Hospital)
We report a 51-year-old female with a large neurilemmoma of the cervical vagus nerve in the right parapharyngeal space. She had an 8×5 cm, elastic soft, round tumor in her right submandibular region. We successfully performed intracapsular resection of the huge neurilemmoma under rigid endoscopic guidance by cervical approach. This surgery was done with no operative complications, but right vagus nerve palsy occurred. Our findings suggest it is useful to use a rigid endoscope when performing intracapsular resection of a parapharyngeal neurilemmoma.
Key words : neurilemmoma, vagus nerve, intracapsular resection, rigid endoscope