Extremely rare case of retropharyngeal space benign plexiform schwannoma - Excised through Smith- Robinson Approach

Approximately 25-45% of schwannomas are typically slow-growing, encapsulated, and noninvasive tumors that occur in the head-and-neck region where they rarely involve the retropharyngeal space. Here, we report deep-seated benign plexiform schwannoma located in the retropharyngeal C2-C5 region excised...

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Published inSurgical neurology international Vol. 11; p. 182
Main Authors Sakhrekar, Rajendra, Peshattiwar, Vishal, Jadhav, Ravikant, Kulkarni, Bijal, Badhwar, Sanjiv, Kale, Hrishikesh, Yedave, Rammohan
Format Journal Article
LanguageEnglish
Published United States Scientific Scholar 11.07.2020
Subjects
Case Report
Dysphonia
Smith-Robinson’s approach
Dysphagia
Retropharyngeal space
Benign plexiform schwannoma
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Summary:Approximately 25-45% of schwannomas are typically slow-growing, encapsulated, and noninvasive tumors that occur in the head-and-neck region where they rarely involve the retropharyngeal space. Here, we report deep-seated benign plexiform schwannoma located in the retropharyngeal C2-C5 region excised utilizing the Smith-Robinson approach. A 30-year-old male presented with dysphagia and impaired phonation attributed to an MR documented C2-C5 retropharyngeal schwannomas. On examination, the lesion was soft, deep seated, and extended more toward the right side of the neck. Utilizing a right-sided Smith-Robinson's approach, it was successfully removed. The histopathology confirmed the diagnosis of a plexiform schwannoma. Retropharyngeal benign plexiform schwannomas are rare causes of dysphagia/impaired phonation in the cervical spine. MR studies best document the size and extent of these tumors which may be readily resected utilizing a Smith-Robinson approach.
ISSN:2229-5097
2152-7806
2152-7806
DOI:10.25259/SNI_317_2020