Postauricular Approach for Enucleation of Cervical Vagal Schwannomas.

Authors :: Roh JL
Source :: Head & neck [Head Neck] 2024 Dec 30. Date of Electronic Publication: 2024 Dec 30.
Publication Year :: 2024
Publisher :: Ahead of Print
Abstract: Background: This study evaluates the outcomes of intracapsular enucleation using the retroauricular hairline incision (RAHI) approach for treating cervical vagal schwannomas.<br />Methods: A longitudinal study was conducted on patients with cervical vagal schwannomas. Eleven patients who underwent RAHI-based enucleation were included. Preoperative imaging was performed using contrast-enhanced MRI. Postoperative evaluations assessed pain, neurological function, cosmetic outcomes, voice, and swallowing functions.<br />Results: Eleven patients underwent surgery. The median tumor size was 4.6 cm. The median operation time was 42 min, with minimal bleeding. Common complications were earlobe numbness (45%) and temporary vocal cord paralysis (27%), which were resolved within a year. Cosmetic satisfaction was high, with median VAS scores of nine for scars and 10 for facial deformities. No significant dysphagia was found. No recurrences were observed over a median follow-up of 79 months.<br />Conclusions: Intracapsular enucleation using the RAHI approach is a safe and effective method for treating cervical vagal schwannomas.<br /> (© 2024 Wiley Periodicals LLC.)