Dysphagia due to a large schwannoma of the oropharynx: case report and review of the literature.
Schwannoma is a benign, encapsulated tumor that is derived from Schwann cells. Approximately 25% to 45% of schwannomas occur in the head and neck. The most common site is the parapharyngeal space of the neck; intrapharyngeal occurrence is extremely rare. To our knowledge, this is the first report of a pedunculated schwannoma in the supraglottic oropharynx. Because of the location and mass of the tumor, the main symptom was dysphagia. The tumor was excised via direct microlaryngoscopy, and no recurrence was seen after 2 years of follow-up. When schwannomas are located in the pharynx, they may cause dyspnea and dysphagia or impair phonation. Therefore, when dysphagia is present, a thorough diagnostic procedure should be performed to evaluate the morphology and function of the upper aerodigestive tract.
Department of Otorhinolaryngology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. dietmar.thurnher@univie.ac.at
Dietmar
D
Thurnher
Christian
C
Quint
Johannes
J
Pammer
Wolfgang
W
Schima
Birgit
B
Knerer
Doris Maria
DM
Denk
D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology*; D006801:Humans; D009442:Neurilemmoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009959:Oropharyngeal Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery