Large Paediatric Trigeminal Schwannoma Resected via Frontotemporal Craniotomy with Zygomatic Extension and Middle Fossa Approach:2D Microsurgical Video
Abstract
Large Trigeminal Schwannomas can occupy multiple compartments requiring extended skullbase approaches. Here we present a case of a 14-year-old female patient with a progressively enlarging trigeminal schwannoma with brainstem compression. We demonstrate the techniques and nuance of a middle fossa approach in addition to dissection methods that we propose obviate neurological injury and cerebrospinal fluid leak. This allows single stage surgery. Gross total resection was achieved, and the patient remained well. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Meningioma and schwannoma management
Head and Neck Surgical Oncology
Trigeminal Neuralgia and Treatments
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN