Ancient Schwannoma of the Infratemporal Fossa: A Case Report

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