Open Access

Middle cranial fossa trigeminal schwannoma resection through endoscopic transnasal maxillary sinus approach: A case report and literature review

  • Authors:
    • Chao Xu
    • Pan Wang
    • Jun-Wei Wang
    • Wu-Jun Feng
    • Nan Wu
  • View Affiliations

  • Published online on: April 21, 2022     https://doi.org/10.3892/etm.2022.11332
  • Article Number: 405
  • Copyright: © Xu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

The endoscopic transnasal maxillary sinus approach is usually performed in resecting tumors located in the pterygopalatine fossa and infratemporal fossa, but is rarely used in the resection of lesions in the middle cranial fossa. Because of the complicated anatomical structure of the middle cranial fossa, trigeminal schwannomas (TSs) located in this region are usually dissected through conventional craniotomy surgical approaches; however, the endoscopic transnasal maxillary sinus approach can be used in resection of middle cranial fossa TSs. The current study presented the case of a 59‑year‑old man who suffered intermittent headaches for 2 years without other notable medical history and neurological abnormalities. The patient was diagnosed with a middle cranial fossa TS. After imaging and assessment of anatomical features, the tumor was totally resected through the transnasal maxillary sinus approach. Following surgery, the symptoms were relieved and the patient returned to a normal life. Light numbness was complained of in the distribution area of the maxillary nerve of the right side of the face, but this was gradually relieved. Combined with a literature review, the present case indicated that the endoscopic transnasal maxillary sinus approach may provide a safer and more direct option for resecting middle cranial fossa lesions, which is worthy of increased clinical application.

Related Articles

Journal Cover

June-2022
Volume 23 Issue 6

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Xu C, Wang P, Wang J, Feng W and Wu N: Middle cranial fossa trigeminal schwannoma resection through endoscopic transnasal maxillary sinus approach: A case report and literature review. Exp Ther Med 23: 405, 2022
APA
Xu, C., Wang, P., Wang, J., Feng, W., & Wu, N. (2022). Middle cranial fossa trigeminal schwannoma resection through endoscopic transnasal maxillary sinus approach: A case report and literature review. Experimental and Therapeutic Medicine, 23, 405. https://doi.org/10.3892/etm.2022.11332
MLA
Xu, C., Wang, P., Wang, J., Feng, W., Wu, N."Middle cranial fossa trigeminal schwannoma resection through endoscopic transnasal maxillary sinus approach: A case report and literature review". Experimental and Therapeutic Medicine 23.6 (2022): 405.
Chicago
Xu, C., Wang, P., Wang, J., Feng, W., Wu, N."Middle cranial fossa trigeminal schwannoma resection through endoscopic transnasal maxillary sinus approach: A case report and literature review". Experimental and Therapeutic Medicine 23, no. 6 (2022): 405. https://doi.org/10.3892/etm.2022.11332