Balancing risks and outcomes in schwannoma treatment: Case series

Abstract

Schwannomas are rare benign tumors originating from Schwann cells of peripheral nerve sheaths, occasionally presenting intraosseously in the oral and maxillofacial region. Management decisions for these tumors require careful consideration of their location, size, and impact on surrounding structures. We present two contrasting cases of schwannomas: One involving a non-surgical approach due to extensive involvement and proximity to critical structures and the other necessitating surgical excision for a well-defined intraosseous lesion. The first case, in a 28-year-old female, highlighted the decision to monitor the lesion due to its significant size and location, while the second case, in a 20-year-old female, demonstrated successful surgical removal with histopathological confirmation of a benign schwannoma. These cases underscore the importance of tailored management strategies based on thorough clinical, radiographic, and histopathological assessments to optimize outcomes and minimize risks associated with surgical intervention.