DOI: 10.36347/sjds.2019.v06i07.005

Pages: 348-351

Schwannomas arising from cervical vagus nerve are extremely rare. Approximately 25% to 40% of all schwannomas occur in the head and neck region. Usually, they present as asymptomatic neck lumps in the 3rd to 4th decades of life. Diagnosis is mainly done with radiological imaging such as MRI. The best treatment option is to perform surgical excision of the tumor preserving the nerve function where feasible. Here we present a case of ancient schwannoma arising from cervical vagus nerve located in the parapharyngeal space, excised en-block with the vagus nerve, reconstructed with a great auricular nerve graft. Presentation, differential diagnosis, investigation, and the treatments discussed.