Intraparotid facial nerve schwannomas
- Author:
Bommie Florence SEO
1
;
Hyuk Joon CHOI
;
Kyung Jin SEO
;
Sung No JUNG
Author Information
- Publication Type:Case Report
- Keywords: Facial nerve; Neurilemmoma; Parotid gland; Schwann cell tumor
- MeSH: Adenoma, Pleomorphic; Axons; Biopsy; Diagnosis; Facial Muscles; Facial Nerve; Facial Paralysis; Female; Head; Humans; Immunohistochemistry; Middle Aged; Neck; Neurilemmoma; Parotid Gland; Recurrence; Schwann Cells
- From:Archives of Craniofacial Surgery 2019;20(1):71-74
- CountryRepublic of Korea
- Language:English
- Abstract: Schwannoma is a benign tumor rarely found in the head and neck and much less commonly found in the intraparotid facial nerve. It is a slow-growing encapsulated tumor originating from the Schwann cells or axonal nerve sheath. It can occur anywhere along the course of the facial nerve. Patients may present with symptoms of facial palsy, but the most common presenting symptom is an asymptomatic swelling. Diagnosis is usually difficult before surgical removal and histopathological examination. We report a rare case of intraparotid facial nerve schwannoma in a 57-year-old female who had sustained a mass of the right preauricular area for 3 years. She reported no pain or facial muscle weakness. Enhanced computed tomography findings revealed the impression of pleomorphic adenoma. However, intraoperative gross findings were not characteristic of pleomorphic adenoma, and a frozen biopsy was performed resulting in the impression of a nerve sheath tumor. We performed an extracapsular surgical excision without parotidectomy. Permanent histopathology and immunohistochemistry reports diagnosed the mass as schwannoma. There were no complications including facial palsy after surgery. No recurrence was found at 6 months after surgery
