Key Points 1. It is safe and feasible to treat schwannoma by a non-inflation-forced-transaxillary approach. 2. This surgical method has no scar on the neck meets the aesthetic needs of patients. 3. The enlarged surgical field of view under the endoscope reduces the surgical risk and postoperative complications. 4. The function of each branch of vagus nerve can be protected to the greatest extent under the high clear and enlarged field of view of endoscope. 5. This procedure is suitable for the resection of benign vagus nerve tumors within the range of the hyoid bone to the clavicle