Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

Huge Tongue Base Neurilemmoma : Excision by Intraoral Coblation

Jun Sun Kim1, PhanHuu Ngoc Minh1, Ki Hwan Hong1,*
1Department of Otolaryngology-HNS, Institute for Medical Science, Chonbuk National University Chonbuk National University Hospital, Chonbuk, Korea
*교신저자: 홍기환, 54907 전북 전주시 덕진구 건지로 20 전북대학교 의과대학 전북대학병원 이비인후과학교실 전화: (063) 250-1990·전송:(063) 250-1986 E-mail:khhong@chonbuk.ac.kr

© Copyright 2016 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 22, 2016; Revised: Sep 30, 2016; Accepted: Nov 08, 2016

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: Tongue; Neurilemmoma; Electrocoagulation; Oral surgical procedures