Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Archives of Otorhinolaryngology |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642017000400408 |
Resumo: | Abstract Introduction Schwannomas of the head and neck account for 25-40% of all cases, with presentation at the base of the tongue as the most frequent site for intraoral tumors. Objectives Here, a systematic review was conducted to include 15 cases of patients with schwannoma of the base of the tongue. Data Synthesis Most patients presented with a single, painless, well-encapsulated nodule at the base of the tongue. These nodules were slow-growing, with an average of 13.3 months from onset to presentation. Most cases were accompanied by airway obstruction, indicated by symptoms of dysphagia, dysarthria, snoring, and sleep apnea. Overall, the histological studies were consistent with a benign schwannoma with a palisading Antoni A and Antoni B pattern without malignant changes in cell morphology. These tumors were treated via complete surgical excision, and all cases achieved full remission by final follow-up. Conclusion Surgical removal is the primary mode of treatment with excellent postoperative prognosis and rare instances of recurrence. Given the rarity of this tumor, this review of available case studies serves to comprehensively describe clinical presentation and surgical treatment approaches to tongue base schwannoma. |
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Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Reviewbase of tongueschwannomaneurilemmomaperipheral nerve sheath tumorsystematic reviewAbstract Introduction Schwannomas of the head and neck account for 25-40% of all cases, with presentation at the base of the tongue as the most frequent site for intraoral tumors. Objectives Here, a systematic review was conducted to include 15 cases of patients with schwannoma of the base of the tongue. Data Synthesis Most patients presented with a single, painless, well-encapsulated nodule at the base of the tongue. These nodules were slow-growing, with an average of 13.3 months from onset to presentation. Most cases were accompanied by airway obstruction, indicated by symptoms of dysphagia, dysarthria, snoring, and sleep apnea. Overall, the histological studies were consistent with a benign schwannoma with a palisading Antoni A and Antoni B pattern without malignant changes in cell morphology. These tumors were treated via complete surgical excision, and all cases achieved full remission by final follow-up. Conclusion Surgical removal is the primary mode of treatment with excellent postoperative prognosis and rare instances of recurrence. Given the rarity of this tumor, this review of available case studies serves to comprehensively describe clinical presentation and surgical treatment approaches to tongue base schwannoma.Fundação Otorrinolaringologia2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642017000400408International Archives of Otorhinolaryngology v.21 n.4 2017reponame:International Archives of Otorhinolaryngologyinstname:Fundação Otorrinolaringologia (FORL)instacron:FORL10.1055/s-0037-1598609info:eu-repo/semantics/openAccessSitenga,Jenna LamendolaAird,Gregory AlanNguyen,AustinVaudreuil,AdamHuerter,Christophereng2018-01-29T00:00:00Zoai:scielo:S1809-48642017000400408Revistahttps://www.scielo.br/j/iao/https://old.scielo.br/oai/scielo-oai.php||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br1809-48641809-4864opendoar:2018-01-29T00:00International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL)false |
dc.title.none.fl_str_mv |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
title |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
spellingShingle |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review Sitenga,Jenna Lamendola base of tongue schwannoma neurilemmoma peripheral nerve sheath tumor systematic review |
title_short |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
title_full |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
title_fullStr |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
title_full_unstemmed |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
title_sort |
Clinical Features and Surgical Treatment of Schwannoma Affecting the Base of the Tongue: A Systematic Review |
author |
Sitenga,Jenna Lamendola |
author_facet |
Sitenga,Jenna Lamendola Aird,Gregory Alan Nguyen,Austin Vaudreuil,Adam Huerter,Christopher |
author_role |
author |
author2 |
Aird,Gregory Alan Nguyen,Austin Vaudreuil,Adam Huerter,Christopher |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sitenga,Jenna Lamendola Aird,Gregory Alan Nguyen,Austin Vaudreuil,Adam Huerter,Christopher |
dc.subject.por.fl_str_mv |
base of tongue schwannoma neurilemmoma peripheral nerve sheath tumor systematic review |
topic |
base of tongue schwannoma neurilemmoma peripheral nerve sheath tumor systematic review |
description |
Abstract Introduction Schwannomas of the head and neck account for 25-40% of all cases, with presentation at the base of the tongue as the most frequent site for intraoral tumors. Objectives Here, a systematic review was conducted to include 15 cases of patients with schwannoma of the base of the tongue. Data Synthesis Most patients presented with a single, painless, well-encapsulated nodule at the base of the tongue. These nodules were slow-growing, with an average of 13.3 months from onset to presentation. Most cases were accompanied by airway obstruction, indicated by symptoms of dysphagia, dysarthria, snoring, and sleep apnea. Overall, the histological studies were consistent with a benign schwannoma with a palisading Antoni A and Antoni B pattern without malignant changes in cell morphology. These tumors were treated via complete surgical excision, and all cases achieved full remission by final follow-up. Conclusion Surgical removal is the primary mode of treatment with excellent postoperative prognosis and rare instances of recurrence. Given the rarity of this tumor, this review of available case studies serves to comprehensively describe clinical presentation and surgical treatment approaches to tongue base schwannoma. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642017000400408 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642017000400408 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0037-1598609 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
publisher.none.fl_str_mv |
Fundação Otorrinolaringologia |
dc.source.none.fl_str_mv |
International Archives of Otorhinolaryngology v.21 n.4 2017 reponame:International Archives of Otorhinolaryngology instname:Fundação Otorrinolaringologia (FORL) instacron:FORL |
instname_str |
Fundação Otorrinolaringologia (FORL) |
instacron_str |
FORL |
institution |
FORL |
reponame_str |
International Archives of Otorhinolaryngology |
collection |
International Archives of Otorhinolaryngology |
repository.name.fl_str_mv |
International Archives of Otorhinolaryngology - Fundação Otorrinolaringologia (FORL) |
repository.mail.fl_str_mv |
||iaorl@iaorl.org||archives@internationalarchivesent.org||arquivos@forl.org.br |
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1754203976031535104 |