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Absent stapedial reflex: Otosclerosis or middle ear tumor?

February 25, 2013  |  Deb Biswas, FRCS-ORL, MS-ORL, MRCS, DOHNS; Ranjit K. Mal, FRCS


We present an unusual case in which a patient diagnosed as having otosclerosis on the basis of clinical and audiologic findings actually had a middle ear facial nerve schwannoma. To the best of our knowledge, this is the first reported case in English literature in which a...

Laryngeal schwannoma excised under direct laryngoscopy: Case report

May 1, 2012  |  Iosif Vital, MD; Dan M. Fliss, MD; Jacob T. Cohen, MD


Laryngeal schwannomas (neurilemmomas) are extremely rare, and they present the otorhinolaryngologist with diagnostic and management challenges. These lesions usually present as a submucosal mass, and they are always a potential threat to the airway. We describe the case of a 75...

A purely intracanalicular cochlear schwannoma presenting with progressive hearing loss

October 27, 2011  |  Hüseyin Işıldak, MD, Metin Ibrahimov, MD, Mehmet Yilmaz, MD, Ozgun Enver, MD, and Sait Albayram, MD


Schwannomas arising from the cochlear nerve and confined to the internal auditory canal are rare. Clinically, a cochlear schwannoma can cause a progressive hearing loss. We report the case of a 56-year-old woman with a cochlear schwannoma that manifested as a slowly progressive...

Vagal Schwannoma

September 21, 2011  |  Regan W.J. Bergmark, BA, David P. Guo, BS, Harrison W. Lin, MD, William C. Faquin, MD, PhD, Geoffrey S. Young, MD, and Keith G. Saxon, MD

Syndromes after resection of a cervical schwannoma

September 21, 2011  |  Michael J. Boros, MD and Stephen T. Wysong, MD, FACS


Cervical schwannomas are rare, as fewer than 250 cases have been reported in the literature. The preferred method of removing a schwannoma is enucleation. Complications of schwannoma excision include Horner syndrome, first-bite syndrome, and Pourfour du Petit syndrome. These...

Schwannoma of the palatine tonsil

September 21, 2011  |  Neena Chaudhary, MS, Deepak Gupta, MS, and V. Natesh, MS


Schwannomas can originate in any peripheral, autonomic, or cranial nerve except the olfactory and optic nerves. Between 25 and 48% of all schwannomas have been reported to arise in the head and neck, with the acoustic nerve being the most common site of origin there....

Bilateral multicanal benign paroxysmal positional vertigo coexisting with a vestibular schwannoma: Case report

January 1, 2011  |  Selmin Karatayli-Ozgursoy, MD, Greta C. Stamper, AuD, Larry B. Lundy, MD, and David A. Zapala, PhD


We describe a rarely encountered case of coexisting bilateral multicanal benign paroxysmal positional vertigo (BPPV) and vestibular schwannoma in a 56-year-old woman. The patient had presented with a 10-year history of dizziness and imbalance, and her vestibular findings were...

Nasal tip schwannoma

September 1, 2010  |  Michele P. Morrison, DO

A unique case of a sublingual-space schwannoma arising from the mylohyoid nerve

July 1, 2010  |  Kavita Malhotra Pattani, MD, Kevin Dowden, MD, and Cherie-Ann O. Nathan, MD, FACS


We describe a unique case of a sublingual-space schwannoma presenting as a painless, 3 x 2-cm enlarging mass in the oral cavity of a 63-year-old man. Computed tomography demonstrated a distinct, well-encapsulated mass in the right side of the floor of the mouth. Findings on...

Solitary nasal schwannoma clinically presenting as an angiofibroma of the nasopharynx

July 1, 2010  |  S.C. Gupta, MS, Jain Sachin, MS, Saxena Savyasachi, MS, Jaiswal Ritesh, MBBS, Garg Neha, MBBS, and Himanshu P. Singh, MBBS


Benign schwannomas of the nasal cavity are rare. When they do occur, their clinical presentation is variable, and some are fairly vascular. We report the case of a 17-year-old boy who presented with epistaxis associated with a unilateral nasal mass that extended into the...

An asymptomatic schwannoma of the nasal septum: Report of a unique case

December 1, 2009  |  Fabio Pagella, MD, Georgios Giourgos, MD, Elina Matti, MD, and Andrea Colombo, MD


Schwannomas of the nasal septum are extremely rare, and therefore their diagnosis and treatment can pose certain challenges. We describe the case of an incidentally discovered schwannoma of the nasal septum that was unique in that the lesion was completely asymptomatic. In view...

Columellar schwannoma

October 1, 2009  |  Taylor Tidmore, MD, Karen H. Calhoun, MD, Scot Hirschi, MD, and Ronald Miick, MD


Schwannomas of the nose or paranasal sinuses are very rare. In fact, only 19 cases of schwannoma of the nasal septum have been reported in the otolaryngology literature. In all of those cases, only the cartilaginous or bony septum was involved. To the best of our knowledge, no...


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