Abstract
Extratemporal facial nerve schwannomas are rare entity. Pre-operative assessment is mostly inconclusive with differential diagnosis of parotid tumors. We hereby report a case of 28 years female who presented with painless swelling in right parotid region with normal facial nerve function. Ultrasonography was suggestive well circumscribed and homogenous mass arising from the deep lobe of parotid gland. The Fine-needle aspiration cytology came out to be inconclusive. For further characterization of the tumor contrast enhanced MR imaging was performed. The MR imaging revealed well-defined cystic, heterogeneous, pear-shaped mass lesion situated near the stylomastoid foramen. Post operatively the mass came out to be schwannoma on histopathological examination.
Similar content being viewed by others
References
Gross BC, Carlson ML, Moore EJ, Driscoll CL, Olsen KD (2012) The intraparotid facial nerve schwannoma: a diagnostic and management conundrum. Am J Otolaryngol 33:497–504
Seo BF, Choi HJ, Seo KJ, Jung SN (2019) Intraparotid facial nerve schwannomas. Arch Craniofac Surg 20:71–74
Ulku CH, Uyar Y, Acar O, Yaman H, Avunduk MC (2004) Facial nerve schwannomas: a report of four cases and a review of the literature. Am J Otolaryngol 25:426–431
Simone M, Vesperini E, Viti C, Camaioni A, Lepanto L, Raso F (2018) Intraparotid facial nerve schwannoma: two case reports and a review of the literature. Acta Otorhinolaryngol Ital 38:73–77
Caughey RJ, May M, Schaitkin BM (2004) Intraparotid facial nerve schwannoma: diagnosis and management. Otolaryngol Head Neck Surg 130:586–592
Tabriz HM, Razmpa E, Abdollahi A (2009) Head and neck nerve sheath tumors: a 10-year evaluation in Iran. Iran J Pathol 4:118–122
Ma Q, Song H, Zhang P, Hou R, Cheng X, Lei D (2010) Diagnosis and management of intraparotid facial nerve schwannoma. J Craniomaxillofac Surg 38:271–273
Assad L, Treaba D, Ariga R, Bengana C, Kapur S, Bhattacharya B et al (2004) Fine-needle aspiration of parotid gland schwannomas mimicking pleomorphic adenoma: a report of two cases. Diagn Cytopathol 30:39–40
Fyrmpas G, Konstantinidis I, Hatzibougias D, Vital V, Constantinidis J (2008) Intraparotid facial nerve schwannoma: management options. Eur Arch Oto Rhino Laryngol 265:699–703
Li S, Lu X, Xie S, Li Z, Shan X, Cai Z (2019) Intraparotid facial nerve schwannoma: a 17-year, single-institution experience of diagnosis and management. Acta Oto Laryngol 139:444–450
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All author declares no conflict of interest.
Consent to participate
The authors certify that they have obtained all appropriate patient consent forms. Consent was taken for her images and other clinical information to be reported in the journal. The patient understands that her name and initials will not be published and due efforts will be made to conceal the identity, but anonymity cannot be guaranteed.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mishra, P.K., Gupta, N., Ahmed, A. et al. A Large Facial Nerve Schwannoma Presenting as a Swelling in Parotid Region-A Rare Case Report. Indian J Otolaryngol Head Neck Surg 75 (Suppl 1), 343–347 (2023). https://doi.org/10.1007/s12070-022-03423-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-022-03423-4