Huge Tongue Base Neurilemmoma : Excision by Intraoral Coblation

Neurilemoma arising from the tongue base are very rare and only a few cases have been reported so far. The tumor is resistance to radiotherapy, and therefore, the treatment of choice is surgery. Diagnosis was confirmed by imaging studies and biopsy followed by surgical excision designed to preserve nerve function. We report a case of huge neurilemoma of the tongue base treated with intraoral coblation. Case reports and a review of the world literature concerning treatment methods and surgical approaches of neurilemoma of tongue base. A number of surgical approaches have been described for tongue base neurilemomas. We report a case of tongue base neurilemoma which was completely extirpated with a coblation through the intraoral approach. The postoperative course was uneventful and improved within 2 weeks like as tonsillectomy patient. The intraoral coblation assisted excision is a safe and useful surgical technique for the removal of tongue base neurilemoma. (J Clinical Otolaryngol 2016;27:384-387)