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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 34(4); 1991 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1991;34(4): 769-774.
A clinical analysis of neurilemmoma originated from the head and neck.
Young Mook Lim, Si Young Won, Ki Sang Rha, Jang Yoorl Yoo, Chan Il Park
두경부에 발생한 신경초종의 임상분석
임영묵 · 원시영 · 나기상 · 유장렬 · 박찬일
충남대학교 의과대학 이비인후과학교실
ABSTRACT

The neurilemmoma is a rare benign tumor, which is known to be originated from the Schwann sheath of the nerve fibers. It is found usually as a mass. It may precipitate symptoms by pressing the nerve fibers. We studied retrospectively 15 patients who had been diagnosed as neurilemmoma pathologically after the operation at the department of otolaryngology, Chungnam national university hospital from Mar. 1984 to Nov. 1990. The results were as follows; 1) There were 6 males and 9 females with a sex ratio of 1:1.5. Age distribution was from 12 to 65 years, with peak incidence in the 4th decade(33.3%). 2) The most common chief complaint was palpable mass(8 cases, 53.3%). 3) The most frequent duration of disease was between 6 month and 1 year(5 cases, 33.3%). 4) The involved sites were paraphryngeal space(4 cases), oropharynx(2 cases), nasal cavity(2 cases), parotid(2 cases), tongue(2 cases), nasal cavity and ethmoid sinus(2 cases), floor of mouth(1 case) and intratemporal region(1 case). 5) The identified nerves of origin were cervical sympathetic chain(3 cases), vagus nerve(2 cases) and facial nerve(2 cases). 6) The complications were vocal cord palsy(3 cases), Horner's syndrome(2 cases) and facial nerve paralysis(1 case).

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