caa a22 4500 606186069 CHVBK 20210128100834.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00405-014-3156-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3156-6 An algorithm for treating extracranial head and neck schwannomas [Elektronische Daten] [Daniel Yafit, Gilad Horowitz, Iosif Vital, Garrett Locketz, Dan Fliss] Surgical resection of extracranial head and neck schwannomas (ECHNS) may be associated with major morbidity, but some ECHNSs can be safely treated expectantly. The aim of this study is to present a large case series and an algorithm for therapeutic decision-making in the management of ECHNS. The clinical records of patients diagnosed and treated for ECHNS between 1999 and 2012 at The Tel Aviv Sourasky Medical Center were reviewed retrospectively. All relevant demographic and medical data were extracted, among them presenting symptoms, surgical approaches, nerve of origin, complications and follow-up. A total of 53 patients with ECHNS were included in this clinical study. There were 29 males and 24 females whose mean age was 49.2years, and all were treated surgically. The schwannomas originated from the brachial plexus, sympathetic chain, vagus nerve, trigeminal nerve, lip, hypoglossal nerve and larynx. Intracapsular enucleation was performed in 32 (60%) patients, and the remaining 21 (40%) patients underwent complete excision of the tumor with the involved nerve segment. Thirty-two patients (60%) had postoperative neurological deficits. This study provides an algorithm to serve as a guideline in the decision-making process for this patient population. Although there is abundant evidence regarding the efficacy of radiotherapy for acoustic schwannoma, the value of radiotherapy as a treatment alternative for patients with ECNHS, especially those unsuitable for surgery, has not been established and further studies are warranted. Springer-Verlag Berlin Heidelberg, 2014 Schwannoma nationallicence Extracranial nationallicence Algorithm nationallicence Surgical nationallicence Yafit Daniel Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut Horowitz Gilad Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut Vital Iosif Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut Locketz Garrett Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut Fliss Dan Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 2035-2038 0937-4477 272:8<2035 2015 272 405 https://doi.org/10.1007/s00405-014-3156-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3156-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yafit Daniel Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Horowitz Gilad Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Vital Iosif Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Locketz Garrett Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Fliss Dan Department of Otolaryngology, Head and Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weitzman Street, 64239, Tel Aviv, Israel aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/8(2015-08-01), 2035-2038 0937-4477 272:8<2035 2015 272 405