Kudva Adarsh, Menon R Girish, Arun S, Jawanda Nimrat Kaur
Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India.
Department of Neurosurgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India.
J Maxillofac Oral Surg. 2025 Feb;24(1):87-89. doi: 10.1007/s12663-022-01844-w. Epub 2023 Jan 6.
Retromaxillary lesions pose diagnostic and treatment delays due to their location. With classical methods posing great morbidity, advances like Peizotome and microscope-assisted surgeries have gained relevance for efficient management with lesser complications and faster postoperative recovery.
A 65-year-old male patient presents with complaints of pain and blurring of the right eye for 10 days.
Clinical and radiological evaluation revealed right eye proptosis with a slow-growing retromaxillary infratemporal tumor with a likely diagnosis of trigeminal schwannoma.
Surgical management was aided by a piezo-assisted transantral approach for microscope-enabled debulking of the tumor.
The final histopathological diagnosis was of schwannoma with the patient having a good postsurgical recovery. Takeaway lesson: Peizotome-assisted transmaxillary approach for microscopic excision of retromaxillary lesions can be considered as a surgical marvel which combines two varied modes of treatment for better patient outcomes.
上颌后间隙病变因其位置导致诊断和治疗延迟。由于传统方法具有较高的发病率，像摆锯和显微镜辅助手术等进展对于高效管理、减少并发症及加快术后恢复具有重要意义。
一名65岁男性患者主诉右眼疼痛和视物模糊10天。
临床和影像学评估显示右眼突出，伴有一个生长缓慢的上颌后颞下肿瘤，可能诊断为三叉神经鞘瘤。
采用摆锯辅助经窦入路，借助显微镜进行肿瘤减容的手术治疗。
最终组织病理学诊断为神经鞘瘤，患者术后恢复良好。经验教训：摆锯辅助经上颌入路显微镜下切除上颌后间隙病变可被视为一种外科奇迹，它结合了两种不同的治疗方式以实现更好的患者预后。
