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Piezo-Assisted Transmaxillary Approach for Microscope-Enabled Debulking of Infratemporal Schwannoma
Adarsh Kudva1, R Girish Menon2, S Arun1
1Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India.
The Rationale:
Retromaxillary lesions pose diagnostic and treatment delays due to their location. With classical methods posing great morbidity, advances like Peizotome and microscope-assisted surgeries have gained relevance for efficient management with lesser complications and faster postoperative recovery.
Case:
A 65-year-old male patient presents with complaints of pain and blurring of the right eye for 10 days.
Diagnosis:
Clinical and radiological evaluation revealed right eye proptosis with a slow-growing retromaxillary infratemporal tumor with a likely diagnosis of trigeminal schwannoma.
Treatment:
Surgical management was aided by a piezo-assisted transantral approach for microscope-enabled debulking of the tumor.
Outcomes:
The final histopathological diagnosis was of schwannoma with the patient having a good postsurgical recovery. Takeaway lesson: Peizotome-assisted transmaxillary approach for microscopic excision of retromaxillary lesions can be considered as a surgical marvel which combines two varied modes of treatment for better patient outcomes.
