Maxillary trigeminal schwannoma: a clinical case report

Introduction Trigeminal schwannoma is a slow-growing benign tumor derived from Schwann cells, while 25% to 45% of these tumors affect the head and neck region, the trigeminal nerve is commonly involved. Case Report : A male patient assist at Oral and Maxillofacial Department in the “Hospital Escuela Universitario de Honduras” with swelling and induration in the right hemifacial region, but without apparent pain. An incisional biopsy revealed a benign schwannoma; consequently, surgical excision was performed using a Weber-Ferguson approach modified with the Dieffenbach technique to access the affected area. No recurrence was observed in six months post-surgery. Discussion: Trigeminal schwannomas can from the root to its extracranial branches; treatment is surgical, though the specific strategy depends on the individual case. S-100 immunohistochemical analysis is crucial for confirming the presence of a schwannoma. Conclusion A combined clinical, histopathological, and imaging-based diagnosis is essential for determining the management of these lesions.