Endoscopic Transorbital Approach to Meckel's Cave for Resection of Trigeminal Schwannoma: Stepwise Operative Video
Abstract
We present the case of a 70-year-old male with progressive right-sided V1–V3 neuropathy, including hemifacial pain and numbness. Imaging demonstrated a Meckel’s cave mass involving V3 with extension through the foramen ovale, suspicious for a trigeminal schwannoma (TS). Resection via an endoscopic transorbital approach (ETOA) achieved gross total resection without complications. The patient’s pain resolved completely. No recurrence observed at 2.5 years. This case highlights the utility of ETOA in managing selected TS cases. 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
Head and Neck Surgical Oncology
Meningioma and schwannoma management
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