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CASE REPORT article

Front. Oncol.
Sec. Head and Neck Cancer
Volume 14 - 2024 | doi: 10.3389/fonc.2024.1432835
This article is part of the Research Topic Advanced Head and Neck Cancer: from Organ Preservation Strategies to extended resections and reconstruction View all 4 articles

Microsurgical Resection of a Giant Triple Dumbbell-Shaped Jugular Foramen Schwannoma via Retrosigmoid and Transcervical approach

Provisionally accepted
Haiying Sun Haiying Sun Yujuan Hu # ， Yujuan Hu # ， Yun Zhu Yun Zhu Juanjuan Hu Juanjuan Hu Jie Yuan Jie Yuan Zuhong He Zuhong He *Huamao Cheng Huamao Cheng *
  • Huazhong University of Science and Technology, Wuhan, China

The final, formatted version of the article will be published soon.

    The surgical management of extensive jugular foramen schwannomas presents a formidable challenge, aiming for gross total resection while minimizing complications. Here， we present a case with giant triple dumbbell-shaped jugular Foramen Schwannoma. A 45-year-old male with a one-year history of a left neck mass underwent surgery. Initial misdiagnosis of submandibular gland inflammation led to persistent symptoms despite anti-inflammatory treatment. Imaging revealed a large lesion in the left cerebellar peduncle-neck-jugular foramen region (39.6 x 26.2 x 90 mm). The combination of retrosigmoid and transcervical approach was selected.Sufficient drilling of the infralabyrinthine, retrofacial area of the mastoid with facial nerve transposition is important for the safe gross total removal of the tumor. The patient underwent a gross total removal of the tumor. Facial nerve function was preserved. Although dysphagia and hoarseness complicated postoperatively, he became able to take foods orally after the surgery. In conclusion, this case underscores the successful surgical approach for a large jugular foramen Schwannoma, emphasizing the importance of precise techniques to achieve complete tumor resection while minimizing postoperative complications.

    Keywords: Jugular foramen, Schwannoma, Microsurgery, transmastoid, Triple Dumbbell-Shaped

    Received: 14 May 2024; Accepted: 13 Sep 2024.

    Copyright: © 2024 Sun, Hu # ，, Zhu, Hu, Yuan, He and Cheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Zuhong He, Huazhong University of Science and Technology, Wuhan, China
    Huamao Cheng, Huazhong University of Science and Technology, Wuhan, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.