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Orbito-Cranial Trigeminal Schwannoma: A Case Report
Mario Benvenutti-Regato1, Misael Salazar-Alejo1, Jose Antonio Figueroa Sanchez1
1Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, MEX.
Cureus
|July 21, 2025
Summary
This study details a successful orbitozygomatic approach for treating an orbito-cranial trigeminal schwannoma, achieving near-total resection. It emphasizes surgical planning and highlights the need for further research on rare schwannoma cases.
Area of Science:
- Neurosurgery
- Oncology
Background:
- Orbito-cranial trigeminal schwannomas are rare tumors requiring specialized surgical techniques.
- The orbitozygomatic approach offers a viable, though challenging, surgical corridor for these complex lesions.
Observation:
- A case of an orbito-cranial trigeminal schwannoma was treated using a right orbitozygomatic approach.
- Near-total tumor resection was achieved, demonstrating the approach's efficacy.
Findings:
- The orbitozygomatic approach is effective for orbito-cranial trigeminal schwannomas, but complete resection can be challenging due to complex anatomy.
- Careful surgical planning is essential for optimizing outcomes.
Implications:
- Multicenter collaborations are crucial to address evidence gaps in surgical strategies, radiotherapy, endoscopic techniques, and long-term outcomes for rare schwannomas.
- Further research is needed to refine surgical techniques and evaluate adjuvant therapies for these challenging tumors.
