Abstract
The authors present a case of an orbito-cranial trigeminal schwannoma treated with a right orbitozygomatic approach, resulting in near-total tumor resection. This case highlights the utility of the orbitozygomatic approach, the challenges associated with achieving complete resection, and the need for careful surgical planning due to the tumor's complex anatomy. Additionally, we discuss prognosis, barriers to total resection, and existing evidence gaps. Given the rarity of orbito-cranial schwannomas, multicenter collaborations are critical to address gaps in surgical strategies, the role of radiotherapy and endoscopic approaches, and long-term outcomes.