Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Ancient Schwannoma of the Infratemporal Fossa: A Case Report

Document Type : Case Report

Authors
Swagatika Samal 1
Anindya Nayak 2
Pradeep Pradhan 2
1 Department of Pathology and laboratory Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
2 Department of Otorhinolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
10.22038/ijorl.2020.42914.2400
Abstract
Introduction:
Ancient schwannoma of infratemporal fossa arising from the trigeminal nerve is very rare in clinical practice.
 
Case Report:
A 65-year old male presented to the outpatient department with a progressive swelling over the left parotid for 5 years and pain during chewing for 6 months which was diagnosed as benign spindle cell tumour on cytology. The tumor was excised with a combined transparotid and transmandibular cervical approach and the final pathology was confirmed to an Ancient Schwannoma.
 
Conclusion:
A giant infratemporal fossa Schwannoma extending to the parapharyngeal space masquerading as a parotid swelling is very unusual. Transparotid transmandibular excision of the infratemporal fossa tumor is an effective approach ensuring complete removal of the tumor with minimal postoperative complications and acceptable cosmoses.
Keywords
Ancient Schwannoma
Infratemporal fossa
Transparotid Transmandibular Approach
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Iranian Journal of Otorhinolaryngology
Volume 32, Issue 6
November and December 2020
Pages 385-389