Comment explores surgical options for trigeminal schwannomas, highlighting the endoscopic transorbital approach.
We read with great interest the article by Pan et al.: "Endosco-pic endonasal versus transcranial approaches for trigeminal schwannomas: choosing the optimal surgical corridor based on tumour traits," recently published in Rhinology (1). The authors provide a valuable trait-based framework comparing endosco-pic endonasal (EEA) (trans-meckel's cave, transclival, trans-lamina papyracea, and trans-prelacrimal recess approaches) and transcranial approaches (TCA) (intra/extradural subtemporal with or without anterior petrosectomy, Kawase, and zygoma-tic middle fossa approach) in the management of trigeminal schwannomas (TS), according to the Samii's classification (2).
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Dallan et al. (2026) studied this question.
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