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Online J Otolaryngol. 2014; 4(4): 218-231


CERVICAL VAGAL SCHWANNOMA AND CABLE GRAFTING OF VAGUS NERVE: A RARE CASE REPORT AND REVIEW OF LITERATURE

Roshan Kumar Verma, Satish Kumar Sunku, Amanjeet Bal, Naresh K Panda.

Abstract
Schwannoma or Nerve sheath tumors arising from the cervical vagus nerve are extremely rare.Usually presents as asymptomatic neck swelling in the age group of 3 rd and 4 th decades with no sex predilection. Very rarely presents with hoarseness of voice due to nerve compression. The diagnosis can be done by radio logically on CECT and MRI. Surgical excision with preservation of nerve
function when ever feasible is the ideal treatment. Here we discuss a case of cervical vagal schwannoma in a 36 year old male which was excised en block and with sacrifice of nerve and nerve repaired by cable graft using great auricular nerve. The presentation, diagnosis and difficulty encountered in capsular dissection are discussed along with option for reconstruction of the sacrificed
vagal nerve is discussed.

Key words: Vagal schwannoma, cervical schwannoma, cable grafting



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