INTRATEMPORAL FACIAL SCHWANNOMA COMPLETE EXCISION A CASE REPORT

The facial schwannoma is the most common tumour of the facial nerve. Benign slow growing tumour often diagnosed late. A 16 year old girl presented with history of right ear blood stained discharge for 3 years, inability to close right eye and deviation of angle of mouth to left for 2 years ,hard of hearing in right ear for 2 years, right ear pain for 1 year. Patient underwent right ear mastoidectomy on 2013.Biopsy report came as facial schwannoma with intracranial extension with grade V facial palsy. Fronto Temporo Parietal Zygomatic craniotomy was done on Nov 2014. Now patient again presented with blood stained ear discharge for 6 months. Translabryinthine approach was carried out and complete removal of the tumour was done. Cholesteatoma was found in the middle ear cavity due to the trapping of epithelium by the tumour. Cholesteatoma was also excised. Postoperatively patient improved from her symptoms.Patient is on regular follow up with no recurrences.