Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach
The surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here, we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a lef...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-10-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2024.1432835/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850210272447299584 |
|---|---|
| author | Haiying Sun Yujuan Hu Yun Zhu Juanjuan Hu Jie Yuan Zuhong He Huamao Cheng |
| author_facet | Haiying Sun Yujuan Hu Yun Zhu Juanjuan Hu Jie Yuan Zuhong He Huamao Cheng |
| author_sort | Haiying Sun |
| collection | DOAJ |
| description | The surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here, we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a left neck mass underwent surgery. Initial misdiagnosis of submandibular gland inflammation led to persistent symptoms despite anti-inflammatory treatment. Imaging revealed a large lesion in the left cerebellar peduncle-neck-jugular foramen region (39.6 x 26.2 x 90 mm). The combination of retrosigmoid and transcervical approach was selected. Sufficient drilling of the infralabyrinthine, retrofacial area of the mastoid with facial nerve transposition is important for the safe gross total removal of the tumor. The patient underwent a gross total removal of the tumor. Facial nerve function was preserved. Although dysphagia and hoarseness complicated postoperatively, he became able to take foods orally after the surgery. In conclusion, this case underscores the successful surgical approach for a large jugular foramen Schwannoma, emphasizing the importance of precise techniques to achieve complete tumor resection while minimizing postoperative complications. |
| format | Article |
| id | doaj-art-1fc5d59d7015422c91fa01e31bf71bc0 |
| institution | OA Journals |
| issn | 2234-943X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj-art-1fc5d59d7015422c91fa01e31bf71bc02025-08-20T02:09:48ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-10-011410.3389/fonc.2024.14328351432835Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approachHaiying Sun0Yujuan Hu1Yun Zhu2Juanjuan Hu3Jie Yuan4Zuhong He5Huamao Cheng6Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Otorhinolaryngology-Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, ChinaDepartment of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaThe surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here, we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a left neck mass underwent surgery. Initial misdiagnosis of submandibular gland inflammation led to persistent symptoms despite anti-inflammatory treatment. Imaging revealed a large lesion in the left cerebellar peduncle-neck-jugular foramen region (39.6 x 26.2 x 90 mm). The combination of retrosigmoid and transcervical approach was selected. Sufficient drilling of the infralabyrinthine, retrofacial area of the mastoid with facial nerve transposition is important for the safe gross total removal of the tumor. The patient underwent a gross total removal of the tumor. Facial nerve function was preserved. Although dysphagia and hoarseness complicated postoperatively, he became able to take foods orally after the surgery. In conclusion, this case underscores the successful surgical approach for a large jugular foramen Schwannoma, emphasizing the importance of precise techniques to achieve complete tumor resection while minimizing postoperative complications.https://www.frontiersin.org/articles/10.3389/fonc.2024.1432835/fulljugular foramenSchwannomamicrosurgerytransmastoidtriple dumbbell-shape |
| spellingShingle | Haiying Sun Yujuan Hu Yun Zhu Juanjuan Hu Jie Yuan Zuhong He Huamao Cheng Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach Frontiers in Oncology jugular foramen Schwannoma microsurgery transmastoid triple dumbbell-shape |
| title | Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach |
| title_full | Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach |
| title_fullStr | Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach |
| title_full_unstemmed | Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach |
| title_short | Case report: Microsurgical resection of a giant triple dumbbell shaped jugular foramen Schwannoma via retrosigmoid and transcervical approach |
| title_sort | case report microsurgical resection of a giant triple dumbbell shaped jugular foramen schwannoma via retrosigmoid and transcervical approach |
| topic | jugular foramen Schwannoma microsurgery transmastoid triple dumbbell-shape |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2024.1432835/full |
| work_keys_str_mv | AT haiyingsun casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT yujuanhu casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT yunzhu casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT juanjuanhu casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT jieyuan casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT zuhonghe casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach AT huamaocheng casereportmicrosurgicalresectionofagianttripledumbbellshapedjugularforamenschwannomaviaretrosigmoidandtranscervicalapproach |