Otolaryngology:
Cervical neurinoma — Surgical resection. Treatment abroad

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasopharynx, which is characteristic mainly for boys and young men. Structurally, it is composed of the fibrous tissue and thin-walled vessels, which are bleeding from time to time. The tumor is characterized by an aggressive course. Depending on the growth direction, over time it grows into the nasal cavity, paranasal sinuses and skull base, creating a threat to the patient’s life. The major treatment option is surgery. In some cases, the radiation techniques may be used.
Surgery

The choice of the surgical technique depends on the formation size:

  1. For small tumors, surgery can be performed endoscopically through the natural orifices (mouth or nose). Such an intervention can minimize the tissue trauma.
  2. Another option of removing small JNA is through the palate. The surgeon makes a horseshoe-shaped incision on the upper edge of the gums, excises a portion of the palate on the affected side, and then resects the tumor. Such an access provides a broad overview of the nasopharynx.
  3. Medial tumors, which invaded the nasal cavity or orbit, are removed through the maxillary sinus. The incision in this case is made under the upper lip.
  4. Large JNA, invading the base of the skull, are dissected through the infratemporal fossa.

The day before surgery, the angiography is performed, which allows the embolization (occlusion) of blood vessels feeding the tumor and reduces the risk of bleeding.

JNA is removed to the fullest extent possible. If the total resection is not possible, the formation is excised partially, and the patient is prescribed radiation therapy after surgery. The following techniques are well-proven for angiofibromas:

  1. Stereotactic surgery (Gamma Knife). The tumor residue is affected by a high dose of radiation, which leads to the tumor cell death. The flows of radiation particles are formed so that most of the energy was targeted at the pathological focus. Thus, the healthy tissue is almost not subjected to irradiation. The procedure is performed only once. The effect is manifested over the next 6 to 24 months.
  2. Conformal radiotherapy. The tumor is irradiated precisely from different angles. Consequently, the major impact is targeted exactly at the pathological focus. The surrounding tissues are damaged to a lesser extent than upon conventional irradiation techniques. The sessions are repeated daily for several weeks.

For inoperable JNA, the radiation techniques may be indicated as the main treatment option.

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Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Surgical treatment of cervical neurinoma

The department of general and abdominal surgery, endocrine surgery and coloprotology treats patients with surgical diseases of the organs of the abdominal cavity, the abdominal wall, and treated the anal region and endocrine organs (thyroid, parathyroid and adrenal glands).


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 6254.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Surgical treatment of cervical neurinoma

The Department of Surgery at the university hospital Klinikum rechts der Isar provides a wide range of treatment of diseases requiring surgical intervention.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 7851.00

RWTH University Hospital Aachen

9.2/10 from 41 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral and Transplant Surgery at the University Hospital Aachen is one of the biggest visceral surgery centers in North Rhine-Westphalia. The priority area is oncologic visceral surgery with a special competence in the field of liver and pancreas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 6592.00

University Hospital Heidelberg

9/10 from 57 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral and Transplant Surgery at the Heidelberg University Hospital is world famous for its first-class medical care of the university level.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg

University Hospital Halle (Saale)

9/10 from 78 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral and Vascular Surgery focuses on surgery and research in the field of endocrinology, colon cancer and vascular medicine. Modern and interdisciplinary treatment technology, such as "keyhole surgery" and interventional surgery, are an integral part of the work.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 6840.00

University Hospital Frankfurt

7.5/10 from 97 Votes

Surgical treatment of cervical neurinoma

The Department of General and Visceral Surgery at the University Hospital Frankfurt deals with the treatment of all general and visceral surgical diseases and performs surgery to transplant liver, kidney and pancreas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 7878.00

University Hospital Cologne

8.5/10 from 82 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery for cancers of esophagus, stomach, small and large intestine, liver, gall bladder, pancreas and thyroid.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 6753.00

Charite University Hospital Berlin

9/10 from 95 Votes

Surgical treatment of cervical neurinoma

Department for General, Abdominal and Vascular Surgery at the University Hospital Charite Berlin treats sicknesses in general, visceral surgery and other surgical areas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 9480.00

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Surgical treatment of cervical neurinoma

The team of experienced general and visceral surgeons covers the entire range of diagnosis and first-rate modern general and visceral surgery for diseases of the abdominal cavity (the entire gastrointestinal tract, liver, the gall bladder, pancreas gland, spleen, peritoneum), endocrine organs (thyro...


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 5835.00

Academic Hospital Cologne-Holweide

8.9/10 from 32 Votes

Surgical treatment of cervical neurinoma

The Department of General, Abdominal and Trauma Surgery has 4 divisions with 120 inpatient beds.  More than 4 200 surgeries are being performed here every year.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 6150.00

Alfried Krupp Hospital in Essen-Steele

8.9/10 from 40 Votes

Surgical treatment of cervical neurinoma

A team of experienced specialists in the field of general and visceral surgery provides the full range of services in diagnosis and treatment of all the surgical diseases of the abdominal cavity (the whole gastrointestinal tract, liver, gall bladder, pancreas, spleen, peritoneum), endocrine organs (...


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 5591.00

University Hospital Wurzburg

9.2/10 from 38 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral, Vascular and Pediatric Surgery (Surgical Clinic I) offers a full range of general and visceral surgery services. Besides, there are two special departments for vascular surgery and pediatric surgery. The department offers all surgeries at the highest level.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg

Price 6881.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Surgical treatment of cervical neurinoma

Clinic for general, abdominal and transplant surgery at the Medical University of Hanover offers comprehensive care for surgical treatment of benign and malignant diseases of the entire abdominal cavity.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 6811.00

Schlosspark-Klinik

9.7/10 from 23 Votes

Surgical treatment of cervical neurinoma

The Department of Surgery at the Schlosspark-Klinik in Berlin specializes in abdominal surgery, bowel surgery (Bowel Cancer Center), diverticulitis, bariatric surgery, minimally invasive surgery (e.g., inguinal hernia and removal of the gallbladder). .


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 6698.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Surgical treatment of cervical neurinoma

The Department of General, Visceral, Vascular and Thoracic Surgery at the Klinikum Oberberg has 75 beds, including an Intermediate Care Station. Here are performed about 2,200 operations a year.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 5740.00

St. Anna Hospital Herne

9.5/10 from 7 Votes

Surgical treatment of cervical neurinoma

The Department of General and Abdominal Surgery specializes in: Abdominal surgery Surgical oncology, multivisceral resection, endocrine surgery Minimally invasive surgery Treatment of injuries of different degree of severity after accidents Treatment of fractures of the spine Rehabilitation after accidents etw.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Herne

Price 6062.00