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Case Report
Ancient cervical vagal schwannoma and an interposition great auricular to vagus nerve graft
1 Department of Clinical Surgical Sciences, University of West Indies, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and Tobago
2 Department of Pathology, Eric Williams Medical Sciences Complex, Champs Fleur, Trinidad and Tobago
Address correspondence to:
Nicholas Figaro
Department of Surgery, Eric Williams Medical Sciences Complex, Uriah Butler Highway, Champ Fleurs,
Trinidad and Tobago
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Article ID: 100011O04NF2021
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How to cite this article
Figaro N, Ramoutar R, Richards D, Arozarena R, Geelal M, Juman S. Ancient cervical vagal schwannoma and an interposition great auricular to vagus nerve graft. Edorium J Otolaryngol 2021;5:100011O04NF2021.ABSTRACT
Introduction: Schwannomas of the cervical vagus nerve are exceedingly rare and have a myriad of clinical presentations depending on the tumor size and its proximity to neurovascular structures. We report a rare case of a cervical vagal schwannoma that was successfully treated with en bloc resection and reconstruction with a great auricular to vagus nerve graft.
Case Report: A 42-year-old male presented with an asymptomatic, right lateral neck mass. Magnetic resonance imaging revealed a lesion 2.4 cm × 1.4 cm × 4.0 cm in size, located between the carotid arteries and internal jugular vein displacing the internal carotid artery anteromedially. En bloc resection of the lesion and reconstruction of the vagus nerve with a great auricular interposition graft was performed.
Conclusion: Vagal schwannomas are rare, benign neurogenic tumors. Complete surgical excision is the mainstay of treatment. When a safe surgical plane cannot be identified between the neurogenic tumor and the main nerve trunk, en bloc resection with reconstruction should be considered.
Keywords: Case report, Great auricular, Nerve graft, Vagal schwannoma
SUPPORTING INFORMATION
Author Contributions
Nicholas Figaro - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rickhi Ramoutar - Acquisition of data, Drafting the article, Final approval of the version to be published
David Richards - Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Rodolfo Arozarena - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mala Geelal - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Solaiman Juman - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Nicholas Figaro et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
