4. CIRUGÍA BASICRANEAL
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V-004 - MIDDLE FOSSA APPROACH FOR A FACIAL SCHWANNOMA
C. Martorell Llobregat1, P. González López1, E. Luna Mayorga2, C. Gómez Revuelta1, A. Kuptsov1, J. Fernández- Villa del Rey Salgado1 and J.A. Nieto Navarro1
1Hospital General Universitario de Alicante, Alicante, Spain. 2Hospital General Universitario, Elche, Spain.
1Hospital General Universitario de Alicante, Alicante, Spain. 2Hospital General Universitario, Elche, Spain.
Introduction: Facial schwannomas can extend to the middle fossa or the cerebellopontine angle through the labyrinthine and cisternal segments of the facial nerve. The middle fossa approach (MFA) and its extensions provide a wide approach to deal with a large variety of lesions located in the middle and posterior cranial fossa junction
Case report: We describe the MFA in a patient with a facial schwannoma with middle and posterior cranial fossa extension, presenting with headache, ipsilateral trigeminal neuralgia, House-Brackmann grade V facial palsy and hearing loss.
Discussion: The MFA is a well-established route to surgically deal with tumors located in and around the proximal four segments of the facial nerve.
