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Cervical Vagal Schwannoma andcable grafting of vagus nerve: A Rare Case Report and Review of Literature

Schwannoma or Nerve sheath tumors arising from the cervical vagus nerve are extremely rare. Usuallypresents as asymptomatic neck swelling in the age group of 3rdand 4thdecades with no sex predilection. Very rarely presents with hoarseness of voice due to nerve compression. The diagnosis can be done by radio logicallyon CECT and MRI. Surgical excision with preservation of nerve function when ever feasible is the ideal treatment. Here we discuss a case of cervical vagal schwannoma in a 36 year old male which was excised en block and with sacrifice of nerve and nerve repaired by cable graft using great auricular nerve. The presentation, diagnosis anddifficulty encountered in capsular dissection are discussed along with option for reconstruction of the sacrificed vagal nerve is discussed.

Author(s): Roshan Kumar Verma, Satheesh Kumar Sunku, Amanjeet Bal, Naresh K Panda