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Large Neurofibroma of the Face.

Kotamarti VS, Feintisch AM, Datiashvili RO - Eplasty (2015)

View Article: PubMed Central - PubMed

Affiliation: Division of Plastic Surgery, Department of Surgery, Rutgers/New Jersey Medical School, Newark.

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A 29-year-old man with neurofibromatosis type 1 (NF1) presented with a giant facial neurofibroma causing significant facial deformity and asymmetry... Craniofacial involvement is typically of the plexiform variant of NF1... Complete tumor resection may not be feasible without risk for facial nerve injury or extensive muscle resection... In cases of midface involvement, lateral structures should be addressed prior to midline structures... Treatment of concomitant cheek and zygomatic lesions with preservation of canthal and levator function may provide superior outcomes in cases of periorbital involvement... As there is no cure for the disorder itself, the treatment of choice for neurofibromas associated with NF1 is surgical resection... Suspension using autologous materials may enable tumor ingrowth and recurrence; using a Teflon mesh netting may prevent this... Composite tissue allotransplantation is a promising approach that permits radical excision with superior functional and cosmetic reconstruction... A handful of cases have been reported worldwide; such procedures must be performed at well-equipped facilities using a multidisciplinary approach due to the significant risks associated with composite tissue allotransplantation... Although a period of stability may occur, hasty surgical intervention should be avoided, as rapid recurrence may occur early in the clinical course... In addition to significant facial asymmetry, our patient developed ipsilateral blindness and facial nerve involvement... His large, ptotic lesion, severe brow, and upper lid ptosis led to significant disfigurement and psychological sequelae.

No MeSH data available.


Preoperative (a and b) photographs demonstrating a drastic improvement in facial appearance.
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Figure 1: Preoperative (a and b) photographs demonstrating a drastic improvement in facial appearance.


Large Neurofibroma of the Face.

Kotamarti VS, Feintisch AM, Datiashvili RO - Eplasty (2015)

Preoperative (a and b) photographs demonstrating a drastic improvement in facial appearance.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4490826&req=5

Figure 1: Preoperative (a and b) photographs demonstrating a drastic improvement in facial appearance.

View Article: PubMed Central - PubMed

Affiliation: Division of Plastic Surgery, Department of Surgery, Rutgers/New Jersey Medical School, Newark.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A 29-year-old man with neurofibromatosis type 1 (NF1) presented with a giant facial neurofibroma causing significant facial deformity and asymmetry... Craniofacial involvement is typically of the plexiform variant of NF1... Complete tumor resection may not be feasible without risk for facial nerve injury or extensive muscle resection... In cases of midface involvement, lateral structures should be addressed prior to midline structures... Treatment of concomitant cheek and zygomatic lesions with preservation of canthal and levator function may provide superior outcomes in cases of periorbital involvement... As there is no cure for the disorder itself, the treatment of choice for neurofibromas associated with NF1 is surgical resection... Suspension using autologous materials may enable tumor ingrowth and recurrence; using a Teflon mesh netting may prevent this... Composite tissue allotransplantation is a promising approach that permits radical excision with superior functional and cosmetic reconstruction... A handful of cases have been reported worldwide; such procedures must be performed at well-equipped facilities using a multidisciplinary approach due to the significant risks associated with composite tissue allotransplantation... Although a period of stability may occur, hasty surgical intervention should be avoided, as rapid recurrence may occur early in the clinical course... In addition to significant facial asymmetry, our patient developed ipsilateral blindness and facial nerve involvement... His large, ptotic lesion, severe brow, and upper lid ptosis led to significant disfigurement and psychological sequelae.

No MeSH data available.