AI Article Synopsis
- Careful consideration of nearby anatomical structures is crucial when accessing deep extracranial schwannomas at the craniocervical junction (CCJ).
- The study reviews three cases where the anterolateral approach was used for surgical access, highlighting the technique's effectiveness in providing a clear surgical field.
- Postoperative complications included transient vocal cord partial paralysis and dysphagia, which all improved within a month, indicating that while risks exist, the anterolateral approach remains a viable option for tumor resection in this region.
Article Abstract
Care should be taken regarding surrounding anatomic structures during access to deepseated extracranial schwannomas in the craniocervical junction (CCJ). Herein, we present surgical tips for extracranial schwannomas in the CCJ using the anterolateral approach. A retrospective review was performed of 3 cases of surgical treatment of extracranial schwannomas in the CCJ by the anterolateral approach, which is a presternomastoid retrojugular route to the CCJ. The combination of neck rotation and reflection of the sternocleidomastoid muscle presented a sufficient, shallow surgical field for the CCJ. We could identify tumors along the accessory nerves and internal jugular veins, and had sufficient rostrocaudal working space to resect the tumors. Two cases were enucleated total resection and 1 was subtotal resection. Two patients experienced transient postoperative vocal cord partial paralysis and 1 had transient dysphagia. These neurological complications improved within 1 month. The anterolateral approach can provide a shallow and sufficient rostral and caudal surgical window.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338961 | PMC |
| http://dx.doi.org/10.14245/ns.1938270.135 | DOI Listing |
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