{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T18:32:07Z","timestamp":1781116327288,"version":"3.54.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Beijing Hospitals Authority Ascent Plan","award":["DFL20220102"],"award-info":[{"award-number":["DFL20220102"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Schwannoma arising from cervical sympathetic chain (CSC) is a rare clinical entity. CSC is hard to preserve in CSC schwannoma (CSCS) surgeries, resulting in Horner\u2019s syndrome (HS) and first bite syndrome (FBS). This article aims to explore our experience in successful preservation of CSC in CSCS surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective review of CSCS cases treated at our tertiary medical institution between Apr 2018 and March 2022. Only cases with successful intraoperative preservation of CSC were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 3 cases were included. There were 2 male patients and 1 female patient. Their age was between 38\u00a0years old and 66\u00a0years old (average and median age was 52 and 51 years old, respectively). Presenting symptom was neck mass for all them, 2 of which were on the left side, while 1 was on the right. Intracapsular enucleation of the CSCS was attempted and achieved in all 3 cases. Hemorrhage from the inner surface of capsules was diffuse and heavy. Constant saline irrigation, suction, and bipolar coagulation were needed to achieve hemostasis. Postoperative HS presented between 4\u00a0hours and 14 hours after surgery for all 3 patients, which took 1 month to 3\u00a0months to recover, whereas FBS did not occur in any patient. Median duration of follow-up was 6 months. No recurrence was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intracapsular enucleation should be attempted in CSCS surgeries, although hemorrhage might be diffuse and hard to control. When intracapsular enucleation was achieved, postoperative FBS can be avoided, while postoperative HS could occur, but its recovery was satisfactory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613221124777","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T07:10:18Z","timestamp":1662534618000},"page":"293-297","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Intracapsular Enucleation of Cervical Sympathetic Chain Schwannoma"],"prefix":"10.1177","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7295-0652","authenticated-orcid":false,"given":"Wan-Xin","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Xuan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Bo","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-Fa","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"bibr1-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0902-7"},{"key":"bibr2-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.971"},{"key":"bibr3-01455613221124777","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A2212"},{"key":"bibr4-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-225222"},{"key":"bibr5-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000149460.98629.42"},{"key":"bibr6-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100137740"},{"key":"bibr7-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900109"},{"key":"bibr8-01455613221124777","doi-asserted-by":"publisher","DOI":"10.4103\/ajns.AJNS_58_18"},{"key":"bibr9-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.125754"},{"key":"bibr10-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0308-y"},{"key":"bibr11-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200112000-00027"},{"key":"bibr12-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1080\/00016480802179735"},{"key":"bibr13-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814549550"},{"key":"bibr14-01455613221124777","doi-asserted-by":"publisher","DOI":"10.4103\/ams.ams_230_19"},{"key":"bibr15-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199612000-00021"},{"key":"bibr16-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2011.04.008"},{"key":"bibr17-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(05)70359-5"},{"key":"bibr18-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2018.06.001"},{"key":"bibr19-01455613221124777","doi-asserted-by":"publisher","DOI":"10.3171\/2016.1.JNS151763"},{"key":"bibr20-01455613221124777","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411300904"}],"container-title":["Ear, Nose &amp; 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