{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:27:46Z","timestamp":1787570866567,"version":"build-2736575974"},"reference-count":41,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,8,13]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>Facial nerve schwannomas arising in the accessory parotid gland region are extremely rare, and paediatric cases have not been reported previously. We present the case of a girl in middle childhood who developed a painless, gradually enlarging mass in the mid-cheek area. Radiologic evaluation revealed a well-defined lesion with imaging features suggestive of a benign neoplasm. A transoral surgical approach was chosen to avoid cutaneous scarring and minimise surgical morbidity. Complete excision was achieved without injury to the facial nerve or Stensen\u2019s duct, and histopathology revealed a benign schwannoma. The postoperative course was uneventful, and no evidence of recurrence was observed during a 3-year follow-up, with the preservation of optimal aesthetic appearance and function. This case highlights the importance of including schwannomas in the differential diagnosis of mid-cheek masses in paediatric patients and supports the transoral approach as a safe and effective alternative to external approaches, even in this age group.<\/jats:p>","DOI":"10.1136\/bcr-2025-269972","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:15:15Z","timestamp":1787570115000},"page":"e269972","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Facial nerve schwannoma of the accessory parotid gland region in a child managed through a transoral approach"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7720-090X","authenticated-orcid":false,"given":"Natalia","family":"Tsotsiou","sequence":"first","affiliation":[{"name":"Department of Pediatric Otorhinolaryngology, Aglaia Kyriakou Children\u2019s Hospital, Athens, 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