PMC3591072_01
Preoperative - Case 1
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F1
A 45-year-old female reported to the Department of ENT with right facial and ear pain for 3 months and right temporal swelling for 4 years [Figure 1].
MRI-showing lesion - Case 1
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F2
MRI brain. MRI showed predominantly right infratemporal mass with extension into middle cranial fossa suggestive of recurrent infratemporal schwannoma with intracranial extension [Figures 2 and 3].
Access osteotomy site - Case 1
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F3
MRI brain. MRI showed predominantly right infratemporal mass with extension into middle cranial fossa suggestive of recurrent infratemporal schwannoma with intracranial extension [Figures 2 and 3].
Postoperative - Case 1
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F4
Access osteotomy was done in the subsigmoid region [Figure 4].
Histopathological picture of Schwannoma (H&E, 10x)
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F5
Postoperative period was uneventful [Figure 5].
Preoperative -Case 2
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F6
The postoperative histopathological diagnosis was schwannoma with cystic changes [Figure 6].
PMC3591072_02
MRI and CT scan showing lesion - Case 2
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F7
The second was a case report of a 26-year-old male [Figure 7] with the complaint of right frontal headache and double vision since one month.
Histopathological picture of Rosai Dorfmans disease
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F8
MRI brain and orbit. MRI showed erosion of posterosuperior wall of right maxillary sinus, heterogenously enhancing mass in the right pterygopalatine fossa extending through pterygomaxillary fissure to infratemporal fossa [Figures 8 and 9].
Postoperative - Case 2
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F9
MRI brain and orbit. MRI showed erosion of posterosuperior wall of right maxillary sinus, heterogenously enhancing mass in the right pterygopalatine fossa extending through pterygomaxillary fissure to infratemporal fossa [Figures 8 and 9].
Removal of tumor - Case 2
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F10
The histopathological report revealed it to be Rosai Dorfmans disease (sinus histiocytosis with massive lymph adenopathy) [Figure 10].
After tumor removal - Case 2
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F11
Postoperatively, vision improved and there was no restriction of extraocular muscles [Figure 11].
Fixing osteotomy site with plates and screws - Case 2
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F12
The lateral orbital wall and zygomatic arch were repositioned and fixed with plates and screws [Figures 12-15].
Excised specimen - Case 2
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F13
The lateral orbital wall and zygomatic arch were repositioned and fixed with plates and screws [Figures 12-15].