Nasal septal schwannoma – Report of a rare case with review of literature

Abstract

Schwannoma of sinonasal origin are uncommon benign tumors of nerve sheath origin. Schwannomas arising from nasal septum usually come as a surprise in the histopathology report. Most of these tumors are amenable to complete removal via endoscopic approaches and no case of recurrence has been reported till date. The present report highlights a case of nasal septal schwannoma arising from posterior part of nasal septum in an elderly female, managed by complete surgical excision endoscopically under general anesthesia. The patient remains free of disease at 2 ½ years follow up. This case emphasizes a need of keeping this rare pathology in the list of differential diagnosis for nasal/ septal masses and a high index of suspicion for this condition for which a single stage low morbidity curative treatment can be offered to the patient.