The authors have no financial disclosures for this article.
Article first published online: 13 JAN 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 2, pages 241–244, February 2011
How to Cite
Hackman, T., Rickert, C. G., Getz, A. E. and Uppaluri, R. (2011), Endoscopic surgical management of vidian nerve schwannoma. The Laryngoscope, 121: 241–244. doi: 10.1002/lary.21285
The authors have no onflicts of interest to disclose.
- Issue published online: 26 JAN 2011
- Article first published online: 13 JAN 2011
- Manuscript Accepted: 13 JUL 2010
- Manuscript Received: 23 FEB 2010
- Vidian nerve schwannoma;
- endoscopic skull base approach;
- pterygopalatine fossa
Vidian nerve schwannomas are highly unusual, with only two reported cases in the world literature, and present with a constellation of symptoms that may be extremely vague. In the reported cases, open techniques have been utilized that required significant dismantling of the midfacial skeleton to access and manage these skull base lesions. Over the last 15 years, a paradigm shift in base of skull surgery has evolved with the advent of transnasal endoscopic techniques and instrumentation, improved surgical access and resectability of most skull-based pathologies, including vidian nerve lesions as reported here. We describe the varied clinical presentation and radiologic findings in two patients with such rare lesions. In addition, in one of these patients, we report on the first use of an expanded endonasal technique to access and remove vidian nerve schwannomas entirely endoscopically.