CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2019; 23(03): e354-e359
DOI: 10.1055/s-0039-1692404
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Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Trans-oral, Carbon Dioxide-Assisted Excision of an Unusual Schwannoma of the Tongue Base: Case Report and Review of the Literature

Zakaria Raee Soliman
1  Oto-Rhino-Laryngology-Head and Neck (ORL-HN) Surgery, Military Medical Academy Ringgold Standard Institution, Cairo, Egypt
,
Mohammad Kamal Mobashir
2  ORL-HN Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt
,
3  ORL-HN Surgery, Zagazig University, Zagazig, Egypt
› Author Affiliations
Further Information

Publication History

06 October 2018

08 May 2019

Publication Date:
26 July 2019 (online)

Abstract

Introduction Schwannomas are benign, solitary, encapsulated tumors that may originate at any site of the peripheral nervous system, with the exception of the olfactory and optic nerves. Schwannomas of the base of tongue are very rare, and only sporadic cases are documented. The tongue base represents a challenge for surgeons. Carbon dioxide (CO2) laser might provide an effective surgical option for such lesions because of the easy access to the lesion, the bloodless surgical field and optimum epithelization of wounds.

Objective We present an unusual case of pedunculated schwannoma of the tongue base treated via transoral CO2-assisted excision. We also provide a review of the available literature, in English language, on humans.

Data synthesis The authors searched the PubMed database and Google up to July 2018. The following search terms were applied: tongue and lingual, combined with schwannoma and neurilemmoma. Titles and abstracts were screened, and, then, only supraglottic (hypopharyngeal) tongue base masses were considered. Fourteen articles were included in this review, reporting 17 cases. The age of the patients ranged from 9 to 39 years, affecting predominantly females. Dysphagia and lump sensations were the most common presenting symptoms, and the mean follow-up period range was 1.5 to 60 months (mean = 13 months). There was no evidence of recurrence in any of the cases.

Conclusion We could conclude that tongue base schwannomas are rare. Transoral complete excision of the tumor is the treatment of choice. CO2 laser surgery is a minimally invasive treatment option that has been performed in few reports with no recurrence and with favorable outcomes.