@article{oai:hama-med.repo.nii.ac.jp:00004013, author = {下平, 有希 and 今井, 篤志 and 瀧澤, 義徳 and 足守, 直樹 and 曽根, 大貴 and 内山, 広大 and 松田, 慈 and 吉見, 亘弘 and 山口, 裕貴 and 望月, 大極 and 三澤, 清 and 細川, 誠二 and 峯田, 周幸}, journal = {耳鼻咽喉科臨床 補冊 = Practica oto-rhino-laryngologica. Suppl.}, month = {Feb}, note = {浜松医科大学医学部耳鼻咽喉科・頭頸部外科学教室 峯田周幸教授退任記念論文集〜症例から学ぶ〜, Festschrift for Professor Hiroyuki Mineta In Hornor of His Retirement as Chairman of Hamamatsu University School of Medicine, Schwannomas are rare benign tumors that arise from the neurolemmocytes. Among cases of schwannoma that arise from nerves, vagal nerve schwannoma is the most common in the head and neck region. Surgical resection is the treatment of choice. Postoperative complications such as hoarseness and dysphagia can affect the patients’ quality of life, so that attempts at nerve preservation should be made whenever possible. A 46-year-old female patient underwent resection of a vagal schwannoma under continuous intraoperative neuromonitoring (CIONM) that allows real-time intraoperative feedback. The recurrent laryngeal and vagal nerve activities were monitored using an electromyographic endotracheal tube. We also used Narrow Band Imaging (NBI) to detect the tumor capsule and performed intracapsular excision of the tumor. She had no postoperative complications. In conjunction with NBI, CIONM allows for successful preservation of the vagal nerve and a reduced risk of postoperative complications.}, pages = {197--201}, title = {術中持続神経モニタリングを用いて摘出した頸部迷走神経鞘腫例}, volume = {156}, year = {2021} }