Orbito-Cranial Trigeminal Schwannoma: A Case Report

TL;DR

This paper reports a rare case of orbito-cranial trigeminal schwannoma and discusses the surgical approach and challenges in treating such tumors.

Contribution

The paper contributes a detailed case report and analysis of surgical strategies for a rare type of schwannoma.

Findings

A right orbitozygomatic approach enabled near-total resection of the tumor.

Complete resection is challenging due to the tumor's complex anatomy.

Multicenter collaborations are needed to improve treatment strategies and outcomes.

Abstract

The authors present a case of an orbito-cranial trigeminal schwannoma treated with a right orbitozygomatic approach, resulting in near-total tumor resection. This case highlights the utility of the orbitozygomatic approach, the challenges associated with achieving complete resection, and the need for careful surgical planning due to the tumor's complex anatomy. Additionally, we discuss prognosis, barriers to total resection, and existing evidence gaps. Given the rarity of orbito-cranial schwannomas, multicenter collaborations are critical to address gaps in surgical strategies, the role of radiotherapy and endoscopic approaches, and long-term outcomes.

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