Abstract：
Vestibular schwannoma (VS) is a benign peripheral nerve sheath tumor involving the vestibulocochlear nerve. Affected patients typically experience a gradual emergence of episodic imbalance and unilateral hearing loss, tinnitus, and headache. Less often, VS may be associated with facial pain; ocular, otic, and taste disturbance; paresthesia of the tongue and face; and temporomandibular disorder-like presentations. There is limited information in the dental literature relating the myriad of oral and maxillofacial manifestations of VS. The objective of this article is to underscore the importance for dental clinicians to seek clinicopathologic correlations with VS-related symptomatology, potentially resulting in a timelier diagnosis and improved patient outcomes. To convey this clinical challenge, a detailed narrative of a 45-year-old patient with an 11-year delay in diagnosis has been reported. In addition, the typical radiographic appearance of an implanted cranial device placed following VS resection has been provided.
摘要：
前庭神经鞘瘤（VS）是一种累及前庭耳蜗神经的良性外周神经鞘瘤。受影响的患者通常会逐渐出现发作性失衡和单侧听力损失，耳鸣,和头痛。很少，VS可能与面部疼痛有关；眼部，耳部和味觉障碍；舌头和面部感觉异常；和颞下颌关节紊乱样表现。牙科文献中有关VS的大量口腔和颌面表现的信息有限。本文的目的是强调牙科临床医生寻求与VS相关症状的临床病理相关性的重要性，可能导致更及时的诊断和改善患者预后。为了传达这一临床挑战，报道了1例45岁患者诊断延迟11年的详细叙述.此外,提供了VS切除后放置的植入式颅骨装置的典型影像学表现。
