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중이강내에서 기원한 신경초종 1예

A Case of the Schwanomma Originated in the Middle Ear Cavity

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초록

Schwannoma is benign tumor that is originated from the schwann cell. It rarely occurs in the middle ear. Schwannomas of the middle ear may originate from the nerves of the middle ear cavity or by extensions from its neighboring structures. Most schwannomas arising from the middle ear are facial nerve schwannomas. We present a case of a 16-year-old male patient with primary middle ear schwannoma believed to arise from Jacobson’s nerves. The tumor was easily dissected from the facial nerve and the chorda tympani nerve. The mass was successfully removed by canal down mastoidectomy, while preserving the hearing and facial nerve functions of the patient.

Abstract

Schwannoma is benign tumor that is originated from the schwann cell. It rarely occurs in the middle ear. Schwannomas of the middle ear may originate from the nerves of the middle ear cavity or by extensions from its neighboring structures. Most schwannomas arising from the middle ear are facial nerve schwannomas. We present a case of a 16-year-old male patient with primary middle ear schwannoma believed to arise from Jacobson’s nerves. The tumor was easily dissected from the facial nerve and the chorda tympani nerve. The mass was successfully removed by canal down mastoidectomy, while preserving the hearing and facial nerve functions of the patient.

참고문헌 (10)

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  2. Kesser BW, "Jacobson’s nerve schwannoma: a rare middle ear mass", Ann Otol Rhinol Laryngol, 110(11), pp.1030~1034 (2001)
  3. Magliulo G, "Chorda tympani neuroma: diagnosis and management", Am J Otolaryngol, 21(1), pp.65~68 (2000)
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  5. Bottrill ID, "Salivary gland choristoma of the middle ear", J Laryngol Otol, 106(7), pp.630~632 (1992)
  6. Aydin K, "Jacobson’s nerve schwannoma presenting as middle ear mass", AJNR Am J Neuroradiol, 21(7), pp.1331~1333 (2000)
  7. Pappas DG Jr, "Diagnostic imaging", Otolaryngol Clin North Am, 35(6), pp.1317~1363 (2002)
  8. Jones SE, "Adenoma in the middle ear: a report of two cases", J Laryngol Otol, 115(3), pp.216~219 (2001)
  9. Kim CW, "Primary middle ear schwannoma", Am J Otolaryngol, 28(5), pp.342~346 (2007)
  10. Tekdemir I, "A clinico-anatomic study of the auricular branch of the vagus nerve and Arnold’s ear-cough reflex", Surg Radiol Anat, 20(4), pp.253~257 (1998)

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