Retropharyngeal Schwannoma. An Uncommon Location

Escamilla Carpintero, Yolanda; Aguilà Artal, Antón Francesc; Prenafeta Moreno, Mario

doi:10.1016/j.otoeng.2019.02.005

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The fibrolaryngoscopy showed a submucous tumour in the posterior wall of the hypotharynx (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Computerised axial tomography (CAT) revealed a solid nodular voluminous tumour, well marked, with hypodense appearance and enhanced areas, situated in the inhrahydoid retropharyngeal space (C4-C6 height) of 29 × 56 × 32 mm (anteroposterior axes [ap] × transversal [t] × craneocaudal [cc]), which partially collapsed the supraglottic lumens area, rectifying the cervical lordosis and conditioning an anterior displacement of the left common carotid artery and partial compression of the left internal jugular vein (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).Nuclear magnetic resonance (NMR) was subsequently performed and revealed a growth of the tumour with measurements of 31 × 64 × 34 mm (ap × t × cc), hypodense image in T1, markedly hyperintense in T2 and with diverse enhancement with intravenous contrast, suggestive of neurogenic benign tumour (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C).Surgery was performed with a bilateral cervical approach, enabling complete extirpation of the tumour, with a nasogastric tube being inserted for one month due to aspirations (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A), until it was proven safe for swallowing to take place, through video fluoroscopy. Anatomopathological testing confirmed the diagnosis of schwannoma (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B).<elsevierMultimedia ident="fig0010"></elsevierMultimedia>In subsequent controls the patient has been asymptomatic, examination normal and the patient has had no difficulty with an oral diet (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>C).Between 25%-45% of schwannomas appear in the region of the head and neck, representing under 1% of all tumours in this region. They are extremely rare in the retropharyngeal space." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as:Escamilla Carpintero Y, Aguilà Artal AF, Prenafeta Moreno M. Schwannoma retrofaríngeo. Una infrecuente localización. Acta Otorrinolaringol Esp. 2020;71:193–194." ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1371 "Ancho" => 1300 "Tamanyo" => 217976 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure 1&#46" "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2047 "Ancho" => 2167 "Tamanyo" => 536205 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure 2&#46" "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007100000003/v1_202005220724/S2173573520300417/v1_202005220724/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007100000003/v1_202005220724/S2173573520300417/v1_202005220724/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573520300417?idApp=UINPBA00004N"]

ISSN: 2173-5735

Acta Otorrinolaringológica Española, the official publication of the Spanish Society of Otolaryngology and Head and Neck Surgery and the Ibero-American Society of Otorhinolaryngology, is the most important journal in Spanish dedicated to Otorhinolaryngology, which reflects the continuous scientific and technical progress of the specialty. It has become an important tool to be kept up to date. The Journal publishes Original Articles (articles on basic research and clinical investigation), reviews, brief communications, case studies and images, which are subjected to a rigorous peer review process.

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