DOI QR코드

DOI QR Code

Schwannoma on the nasal dorsum and tip with sensory changes

  • Yoon, Sung Ho (Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Cha Soo (Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Oh, Jae Wook (Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Keun Cheol (Department of Plastic and Reconstructive Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine)
  • 투고 : 2020.08.10
  • 심사 : 2020.12.08
  • 발행 : 2020.12.20

초록

Schwannomas, which originate from Schwann cells in the peripheral nervous system, are slowg-rowing and uncommon benign tumors. Most schwannomas (90%) occur in isolation, and multiple occurrences are a characteristic feature of neurofibromas. Schwannomas of the nose and nasal tip are particularly unusual. Although a few cases of schwannomas of the sinusoidal tract and nasal septum have been reported, schwannomas arising from the nasal dorsum area and tip are extremely rare. Sensory abnormalities are also a very rare symptom. We excised a schwannoma on the nasal dorsum through direct incision and a schwannoma on the nasal tip through open rhinoplasty. No postoperative complications involving recurrence, hematoma, or infection occurred. The possibility of neurological changes should be considered in cases of an abnormality in the peripheral nervous system. Schwannoma must be kept in mind as a possible cause of neurological changes localized to a specific dermatome, and should always be considered in the differential diagnosis of a mass on the nose.

키워드

참고문헌

  1. Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O'Dwyer AJ, et al. Head and neck schwannomas: a 10 year review. J Laryngol Otol 2000;114:119-24. https://doi.org/10.1258/0022215001905058
  2. Dublin AB, Dedo HH, Bridger WH. Intranasal schwannoma: magnetic resonance and computed tomography appearance. Am J Otolaryngol 1995;16:251-4. https://doi.org/10.1016/0196-0709(95)90152-3
  3. Gul E, Piechnik-Resler D, Gul A. A case of schwannoma of the membranic part of nasal septum. Otolaryngol Pol 2005;59:849-52.
  4. Donnelly MJ, al-Sader MH, Blayney AW. Benign nasal schwannoma. J Laryngol Otol 1992;106:1011-5. https://doi.org/10.1017/S0022215100121644
  5. Mohan D, Krishna A, Ramakristnan V. Schwannoma presenting as a nasal tip deformity. Ann Plast Surg 1997;38:83-4.
  6. Berlucchi M, Piazza C, Blanzuoli L, Battaglia G, Nicolai P. Schwannoma of the nasal septum: a case report with review of the literature. Eur Arch Otorhinolaryngol 2000;257:402-5. https://doi.org/10.1007/s004050000242
  7. Lemmerling M, Moerman M, Govaere F, Praet M, Kunnen M, Vermeersch H. Schwannoma of the tip of the nose: MRI. Neuroradiology 1998;40:264-6. https://doi.org/10.1007/s002340050582
  8. Lee EJ, Kim MK, Kang MS, Kim KS. Nasal tip schwannoma coexisting with vestibular schwannoma. J Craniofac Surg 2016; 27:e626-7. https://doi.org/10.1097/SCS.0000000000002958
  9. Siemionow M, Gharb BB, Rampazzo A. The face as a sensory organ. Plast Reconstr Surg 2011;127:652-62. https://doi.org/10.1097/PRS.0b013e3181fed6fd
  10. Min HJ, Kim KS. Differential diagnosis between nasal septal schwannoma and nasal septal neurofibroma. J Craniofac Surg 2017;28:1780-3. https://doi.org/10.1097/SCS.0000000000003748
  11. Choi JS, Park SM, Choi KU. A rare case of isolated schwannoma in infraorbital nerve. Arch Craniofac Surg 2018;19:231-4. https://doi.org/10.7181/acfs.2018.02033
  12. Guthikonda B, Theodosopoulos PV, van Loveren H, Tew JM Jr, Pensak ML. Evolution in the assessment and management of trigeminal schwannoma. Laryngoscope 2008;118:195-203. https://doi.org/10.1097/MLG.0b013e3181596091
  13. Min HJ, Hong SC, Kim KS. Nasal septal schwannoma: advances in diagnosis and treatment. J Craniofac Surg 2017;28:e97-101. https://doi.org/10.1097/SCS.0000000000003282
  14. Kim KS, Jung JW, Yoon KC, Kwon YJ, Hwang JH, Lee SY. Schwannoma of the orbit. Arch Craniofac Surg 2015;16:67-72. https://doi.org/10.7181/acfs.2015.16.2.67