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Background and Objectives:Neurilemmoma is a benign tumor originating from the spinal nerve root, peripheral nerve and all kinds of cranial nerves except the optic nerve and olfactory nerve. Approximately 25% to 40% of all neurilemmomas are ment and prognosis of neurilemmomas. Subjects and Method:Twenty-one patients who were diagnosed with cervical neurilem-moma and had received treatment at the Department of Otolaryngology-Head and Neck Surgeries from 1994 to 2004 were analyzed retrospectively. Results:The mean age of 21 patients was 41.0 years, with 10 being male and 11 female. The most comon symptom was palpable neck mas and the mean duration of symptoms was 28.2 months. The most comon location of (23.8%). Preoperative diagnostic tools were FNA, CT and MRI. Operation was most comonly performed via transcervical approach. In 10 cases, nerves of origin were preserved, whereas, in 5 cases, nerves of origin were sacrificed and in 6 cases, nerves of origin were not found. The postoperative compli-cations were vocal cord palsy (14.3%), arm weakness (14.3%), facial weaknes (9.5%), Horners syndrome (9.5%), sensory (4.8%) and motor (4.8%) impairment of tongue. The mean folow-up period was 5.3 years and recurrence was not found during this period. Conclusion:CT or MRI is more helpful than FNA in the diagnosis of neurilemoma. In excising neurilemoma, the nerve must be preserved as much as possible.

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