Lateral orbitotomy for a maxillary nerve schwannoma: case report

Abstract

Authors of this report describe a Fukushima Type D(b) or Kawase Type ME2 trigeminal schwannoma involving the right maxillary division in a 59-year-old woman who presented with intermittent right-sided facial numbness and pain. This tumor was successfully resected via a right lateral orbitotomy without the need for craniotomy. This novel approach to a lesion of this type has not yet been described in the scientific literature. The outcome in this case was good, and the patient's intra- and postoperative courses proceeded without complication. The epidemiology of trigeminal schwannomas and some technical aspects of lateral orbitotomy, including potential advantages of this approach over traditional transcranial as well as fully endoscopic dissections in appropriately selected cases, are also briefly discussed.

Document Details

Document Type
Pub Defense Publication
Publication Date
Oct 01, 2016
Source ID
10.3171/2015.7.jns15422

Entities

People

  • Michael J. Cirivello
  • R. Michael Meyer
  • Raymond I. Cho
  • Scott A. Wallace

Organizations

  • Uniformed Services University of the Health Sciences
  • Walter Reed National Military Medical Center

Tags

Fields of Study

  • Medicine

Readers

  • Neurotrauma and Rehabilitation Medicine.
  • Technical Research and Report Writing.
  • Trauma Surgery or Emergency Medicine.