Schwannoma of tongue base treated with transoral carbon dioxide laser
Schwannoma of tongue base treated with transoral carbon dioxide laser
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DOI：
10.1007/s10103-006-0402-1
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发表时间：
2006-12-01
影响因子：
2.1
通讯作者：
Mochloulis, G.
中科院分区：
文献类型：
--
作者：
Mehrzad, H.;Persaud, R.;Mochloulis, G.
神经鞘瘤是起源于神经鞘的良性、生长缓慢的孤立性肿瘤，可发生于任何有髓神经。据报道，它们发生在身体的大部分部位，其中以头部和颈部的发病率最高(25%)，尽管舌根病变很少见。这种肿瘤对放射治疗有抵抗力，因此，首选的治疗方法是手术。我们报告一例舌根部神经鞘瘤，经口腔入路用二氧化碳激光完全切除。患者几乎没有因为使用激光而出现任何并发症。虽然舌根神经鞘瘤已经被记录在案，但我们在英文文献中找不到更早描述我们的治疗方法的报告。我们的结论是，经口腔二氧化碳激光可以被添加到外科医疗器械中，用于将来处理其他类似的病例。
Schwannomas are benign slow growing solitary tumours of nerve sheath origin and can arise from any myelinated nerve. They have been reported to occur in most parts of the body with the highest incidence (25%) in the head and neck region, although tongue base lesions are rare. The tumour is resistant to radiotherapy, and therefore, the treatment of choice is surgery. We present a case of a tongue base schwannoma which was completely extirpated with a carbon dioxide laser via the transoral approach. The patient experienced virtually no morbidity from the use of the laser. Whilst tongue base schwannoma has been documented, we could not find an earlier report in the English literature describing our method of treatment. We conclude that transoral carbon dioxide laser can be added to the surgical armamentarium for the management of other similar cases in the future.