scholarly journals A cervical sympathetic chain schwannoma of the left parapharyngeal space, presenting in the prestyloid region

2016 ◽  
Vol 2 (2) ◽  
pp. 95
Author(s):  
Manish Gupta ◽  
Sunder Singh ◽  
Monica Gupta ◽  
Rupinder Kaur
Keyword(s):  
Parapharyngeal Space ◽  
Neck Region ◽  
Sympathetic Chain ◽  
Lateral Neck ◽  
Head And Neck Region ◽  
Surgical Exploration ◽  
Neck Masses ◽  
Cervical Sympathetic ◽  
Nerve Of Origin

<p class="abstract">Extracranial schwannomas in the head and neck region are rare neoplasms. The tumours often present as asymptomatic, slowly enlarging lateral neck masses. Though the computed tomogram criteria for differentiating vagal and sympathetic chain schwannoma is acceptable in most cases, but rarely the clinician may be misled in very large schwannoma of sympathetic chain where determination of the nerve of origin may be impossible until surgical exploration.</p>

scholarly journals Nail gun injury through the parapharyngeal space in a carpenter: a unique case report

2021 ◽  
Vol 7 (11) ◽  
pp. 1825
Author(s):  
Jameel N. Alswaiheb ◽  
Mohammad Ali Motiwala ◽  
Muhammad Wasi Ahmed ◽  
Tala Fawwaz Beidas
Keyword(s):  
Head And Neck ◽  
Construction Industry ◽  
Parapharyngeal Space ◽  
Neck Region ◽  
Penetrating Injuries ◽  
Unique Case ◽  
Head And Neck Region ◽  
Transnasal Endoscopic Approach ◽  
Nail Gun Injury

<p class="abstract">In developing countries, head and neck penetrating injuries from construction nails are rare can be dangerous or fatal. The use of nail guns in the construction industry gained popularity during the 1990s and is now widespread. In majority of nail gun injuries, the extremities are involved, although injuries to the head and neck region have also been described with approximately 45 cases of cranium penetrating nail gun injuries published in the literature. The management of such cases includes a neurological examination, systemic physical examination, and determination of the optimal surgical method to approach and remove the foreign body. we report a case of penetrating skull base injury caused by a nail gun in a 46-year-old man that was successfully managed by a transnasal endoscopic approach. The patient recovered completely and was discharged. To prevent complications and achieve the best outcomes in such cases, careful diagnosis and assessment are necessary.</p>

scholarly journals Rare extracranial localizations of the head and neck schwannomas

2010 ◽  
Vol 67 (7) ◽  
pp. 596-599
Author(s):  
Milan Jovanovic ◽  
Ljiljana Cvorovic ◽  
Rastislav Poljovka ◽  
Aleksandar Oroz ◽  
Ljubomir Pavicevic
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Soft Tissue Tumors ◽  
Autonomic Nerves ◽  
Head And Neck Region ◽  
Delay In Diagnosis ◽  
Benign Soft Tissue Tumors ◽  
Indispensable Tool ◽  
Slow Growing ◽  
Nerve Of Origin

Introduction. Schwannomas are tumors of neurogenic origin, that arise from Schwann cells which surround peripheral, cranial and autonomic nerves. Schwannomas account for only 5% of all benign soft tissue tumors, and 25-45% of extracranial schwannomas are present in the head and neck region. They are usually classified according to the nerve of origin and the site within the head and neck. Case report. We presented extremely rare extracranial localizations of schwannomas and discussed about diagnosis and management of these tumors. Conclusion. Schwannomas are slow-growing tumors and late symptoms appearance may cause a delay in diagnosis and treatment of patients with these tumors. An appropriate diagnostic protocol is indispensable tool in performing a differential diagnosis of malignant from benign lesions. Choice of surgical approach depends on schwannomas localization.

scholarly journals Determination of Bone SPECT Image Reconstruction Conditions in the Head and Neck Region

2021 ◽  
Vol 77 (7) ◽  
pp. 700-709
Author(s):  
Naoya Hayashi ◽  
Ryotaro Tokorodani ◽  
Shuji Kenda ◽  
Daisuke Ogasawara ◽  
Fumika Yabe ◽  
...  
Keyword(s):  
Image Reconstruction ◽  
Head And Neck ◽  
Neck Region ◽  
Head And Neck Region ◽  
Spect Image ◽  
Bone Spect

Low-grade fibromyxoid sarcoma of the parapharyngeal space: an unusual location

2021 ◽  
Vol 14 (5) ◽  
pp. e237083
Author(s):  
Muhammad Hammad Deewani ◽  
Muhammad Hassan Danish ◽  
Muhammad Sohail Awan ◽  
Nasir Ud Din
Keyword(s):  
Head And Neck ◽  
Parapharyngeal Space ◽  
Neck Region ◽  
Low Grade ◽  
Head And Neck Region ◽  
Myxoid Stroma ◽  
Spindle Cells ◽  
Fibromyxoid Sarcoma ◽  
Established Treatment

Low-grade fibromyxoid sarcoma (LGFMS) is an uncommon soft-tissue malignancy. LGFMS preferentially affects trunks and extremities of young adults; however, occasional cases have been reported in different sites of head and neck region including oral cavity, larynx and oropharynx. LGFMS usually exhibit areas of collagenised and myxoid stroma with appearance of spindle cells in whorling pattern. It is a challenge to diagnose it accurately as most of the time it is misdiagnosed as benign neoplastic entity of spindle cells. There have been only few isolated cases of LGFMS reported in head and neck region and LGFMS originating from the parapharyngeal space has never been reported before. We recently experienced a case of low grade fibomyxoid sarcoma in parapharyngeal space of neck. LGFMS have the propensity to locally recur and to metastasise. Due to its rarity in head and neck region, there are no well-established treatment and follow-up guidelines.

scholarly journals Neglected left intraparotid facial nerve schwannoma causing complete facial nerve palsy: A case report

2018 ◽  
Vol 17 (4) ◽  
pp. 680-682
Author(s):  
Khim Soon Vong ◽  
Irfan Mohamad ◽  
Rohaizam Jaafar
Keyword(s):  
Facial Nerve ◽  
Medical Science ◽  
Neck Region ◽  
Preoperative Assessment ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Head And Neck Region ◽  
Facial Nerve Schwannoma ◽  
Slow Growing ◽  
Nerve Of Origin

Extracranial schwannomas in the head and neck region are relatively rare neoplasms. The tumours are slow growing and often unnoticeable. The nerve of origin is unable to be determined until the time of surgery. Proper preoperative assessment of the disease can be done by imaging studies such as magnetic resonance imaging. The treatment for these tumours is surgical resection with preservation of the neural pathway. We report a case of left intraparotid facial nerve schwannoma in a middle-aged lady causing complete facial nerve paralysis. The clinical features, diagnostic possibilities and management are discussedBangladesh Journal of Medical Science Vol.17(4) 2018 p.680-682

scholarly journals Cervical Tuberculosis Combined With Papillary Thyroid Carcinoma With Lateral Neck Metastasis

2021 ◽  
pp. 014556132110005
Author(s):  
Hui-Yu Lin ◽  
Hao-Chun Hu
Keyword(s):  
Head And Neck ◽  
Extrapulmonary Tuberculosis ◽  
Neck Region ◽  
Needle Aspiration ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
First Line ◽  
Cervical Lymph Nodes ◽  
Head And Neck Region ◽  
Neck Metastasis

Extrapulmonary tuberculosis in the head and neck region accounts for 10% of all tuberculosis cases. Cervical lymph nodes are the most common sites of head and neck tuberculosis and often mimics neck metastasis leading to overstaging and overtreatment. Fine needle aspiration has proven effective in diagnosing cervical tuberculosis. If a diagnosis of tuberculosis is confirmed, then the first-line treatment is oral antituberculosis medication.

scholarly journals Schwanoma of tonsil

2020 ◽  
Vol 46 (2) ◽  
pp. 142-144
Author(s):  
Pran Gopal Datta ◽  
Nasima Akhtar ◽  
Abirvab Naha ◽  
Anindita Datta
Keyword(s):  
Head And Neck ◽  
Parapharyngeal Space ◽  
Benign Lesion ◽  
Neck Region ◽  
Vital Role ◽  
Nerve Fibers ◽  
Radiological Assessment ◽  
Myelinated Nerve ◽  
Head And Neck Region ◽  
Myelinated Nerve Fibers

Background: Schwannoma is mostly benign lesion that originates from the Schwannoma cells that cover the myelinated nerve fibers. Schwannoma arising from the tonsil are very rare. In head and neck region the incidence rate of schwannoma is between 25 to 45%. In most of the cases vestibular nerve followed by a parapharyngeal space is involved. It is also known as neurilemmoma. Objective: To diagnoses and manage the case of a Schwannoma of Tonsil. Findings: A case of tonsillar schwannoma in a 42 years old males was reported. The patient presented with unilateral enlargement of left tonsil with congested pharyngeal mucosa. Conclusion: Proper clinical examination with radiological assessment plays a vital role to diagnosis this accurately. Bangladesh Med Res Counc Bull 2020; 46(2): 142-144

scholarly journals Accuracy of fine needle aspiration cytology in the diagnosis of palpable head and neck masses in a tertiary health care center

2012 ◽  
Vol 6 (4) ◽  
pp. 19-25
Author(s):  
GG Swamy ◽  
A Singh ◽  
JM Ahuja ◽  
N Satyanarayana
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Needle Aspiration ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

Palpable masses in head and neck are a common clinical finding, affecting all age groups. These lumps may be extremely worrying for both physician and patient, as a wide variety of pathological conditions. Accurate cytological analysis has played a major role in evaluation and planning for surgery. We attempted to evaluate the role of Fine Needle Aspiration Cytology (FNAC) in diagnosing lesions of the head and neck region and to review the diversity of lesions in the patients attending the hospital. The study was conducted retrospectively in the department of pathology at College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal a tertiary health care centre. The target population comprised patients presenting with palpable masses at head and neck region during the period of February 2007 to December 2009. The accuracy of FNAC was verified by histological examination in this final study group of (n=125) patients. In these (n=125) patients, twenty five were males and hundred were females. Thyroid gland (60%) was the commonest site aspirated, followed by lymph node (20%), salivary gland (16%) and soft tissue lesions (4%). In our study the sensitivity was 87.5%, the specificity was 100%, the positive predictive value was 100%, the negative predictive value was 98.26% and false negatives were 12.5%. We concluded that FNAC is a safe, cost-effective, sensitive and specific technique in the initial evaluation of head and neck masses. A correct cytological diagnosis can be achieved in a majority of cases, avoiding the need for surgical interventions. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 19-25 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6721

Our Experience in Treating a Rare Clinical Case Angiomyomatous Hamartomas of Head and Neck Region; Case Report

2021 ◽  
Vol 1 (4) ◽  
Author(s):  
Hakobyan Gagik
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
Final Diagnosis ◽  
External Carotid Artery ◽  
Unknown Etiology ◽  
External Carotid ◽  
Head And Neck Region ◽  
Neck Masses ◽  
Head And Neck Masses

Angiomyomatous hamartoma of head and neck region is very are disease, of unknown etiology and more often than not it can be misdiagnosed preoperatively. Materials and Methods: In a study we present a case of angiomyomatous hamartoma in the carotid triangle, a site where a tumor has an invasion to external carotid artery, treatment carried out by surgical excision, after histological examination, the final diagnosis was made. The patient was under observation for 3 years, there were no relapses. Conclusion: The diagnosis of angiomyomatous hamartoma is based on histologic examination. Although this entity is rare, we believe that head and neck surgeons should include it in the differential diagnosis of head and neck masses.

Fibromatosis aggressiva of parapharyngeal space – a case report and review of literature.

2017 ◽  
Vol 6 (2) ◽  
pp. 10-15
Author(s):  
Angelika Piotrowska ◽  
Anna Rzepakowska ◽  
Piotr Chęciński ◽  
Kazimierz Niemczyk
Keyword(s):  
Parapharyngeal Space ◽  
Neck Region ◽  
Aggressive Fibromatosis ◽  
Surgical Excision ◽  
Review Of Literature ◽  
Head And Neck Region ◽  
Desmoid Fibromatosis ◽  
Complete Surgical Excision ◽  
High Local Recurrence Rate

Desmoid fibromatosis is defined as a rare fibroblastic proliferation. Although histologically benign, desmoids are locally invasive and associated with a high local recurrence rate. When located in the head and neck region, fibromatosis tends to be more aggressive and associated with significant morbidity, which may be attributed to the proximity of the vital structures. We report a case of 33-year-old woman with aggressive fibromatosis of parapharyngeal space. Complete surgical excision of the lesion was performed and the postoperative period was without complications. The patient remains under careful follow-up and there is no recurrence of the disease.

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