Piezo-Assisted Transmaxillary Approach for Microscope-Enabled Debulking of Infratemporal Schwannoma

The rationale: 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. Case: A 65-year-old male patient presents with complaints of pain and blurring of the right eye for 10 days. Diagnosis: Clinical and radiological evaluation revealed right eye proptosis with a slow-growing retromaxillary infratemporal tumor with a likely diagnosis of trigeminal schwannoma. Treatment: Surgical management was aided by a piezo-assisted transantral approach for microscope-enabled debulking of the tumor. Outcomes: 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.