Facial nerve schwannoma mimicking acute mastoiditis

Benign tumors of the temporal bone are extremely rare, with an incidence of 1 in 200,000 individuals. The authors report a case of an 8-year-old girl with facial nerve schwannoma (FNS) involving the mastoid portion of her facial nerve. She initially presented with exam findings of postauricular swel...

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Bibliographic Details
Main Authors: Kevin Wong, Caleb J. Fan, Annie E. Arrighi-Allisan, Xintong Wang, William H. Westra, Enrique R. Perez
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548821001090
Description
Summary:Benign tumors of the temporal bone are extremely rare, with an incidence of 1 in 200,000 individuals. The authors report a case of an 8-year-old girl with facial nerve schwannoma (FNS) involving the mastoid portion of her facial nerve. She initially presented with exam findings of postauricular swelling and tenderness mimicking acute infectious mastoiditis. During mastoidectomy, intraoperative frozen pathology revealed spindle cells consistent with FNS, and surgery was aborted. This is the first report of FNS mimicking acute infectious mastoiditis. Presenting symptoms are reviewed, along with radiographic, laboratory, and intraoperative features.
ISSN:2468-5488