Arch Craniofac Surg.  2018 Sep;19(3):231-234. 10.7181/acfs.2018.02033.

A rare case of isolated schwannoma in infraorbital nerve

• Choi JS
• Park SM
• Choi KU

• KMID: 2422471
• DOI: http://doi.org/10.7181/acfs.2018.02033

Abstract

A schwannoma is a benign tumor that develops from Schwann cells. It is known to occur more frequently in women than men, and about one third of schwannoma cases occur in the head and neck area. It is also known to originate mainly in the auditory nerve. However, it is rarely associated with the trigeminal nerve, and especially, schwannomas related to the infraorbital nerve are very rare. we report a rare case of a schwannoma involving the infraorbital branch of the trigeminal nerve in a 45-year old male adult. The patient underwent physical examination and magnetic resonance imaging. The mass was approached through subciliary approach that is familiar to the plastic surgeon and completely resected. Histopathological findings showed pointed to a benign schwannoma. Infraorbital nerve schwannoma is difficult to distinguish from other diseases by means of clinical symptoms, physical findings, or imaging. In spite of its rarity, infraorbital nerve schwannoma may be considered a possible diagnosis in the case of mass on cheek. Assessment by computed tomography or magnetic resonance imaging is necessary for proper diagnosis. About the surgical approach, excision through the subciliary approach should be considered rather than the direct transfacial approach in view of stability, cosmetic effects, and familiarity.

Keyword

Schwann cells; Cheek; Surgical procedures

MeSH Terms

Adult
Cheek
Cochlear Nerve
Diagnosis
Female
Head
Humans
Magnetic Resonance Imaging
Male
Neck
Neurilemmoma*
Physical Examination
Plastics
Recognition (Psychology)
Schwann Cells
Trigeminal Nerve
Plastics