Fronto-ethmoid Schwannoma “Unusual presentation of Rare Sinonasal Tumor”

Abstract

Epiphora or excessive tearing is usually caused by local eye infection like conjunctivitis, corneal ulcers, trichiasis or ectropion of lid or due to atresia of nasolacrimal ducts in infants. It is case of 32 year old Asian male with no significant social or physiological comorbid has presented with progressive history excessive tearing for 2 years, his symptoms began in Dubai for which he consulted Ophthalmologists who treated him for local causes of epiphora but his symptoms persisted, after two years he had a CT which revealed a mass in frontoethmoidal sinus, a nasendoscopy and excision planned but failed because of excessive bleeding and difficulty in negotiating scope beyond the mass but a piece of mass taken out for histopathology which revealed benign but rare sinonasaltumor“schwannoma.” MRI done for better visualization and extent of mass.Open resection performed. Patient is free of symptoms.