Solitary intraparotid facial nerve plexiform neurofibromas are extremely rare. These tumors arise from Schwann cells. The plexiform variant is recognized by tortuous and multinodular gross and microscopic lesions. It ...Solitary intraparotid facial nerve plexiform neurofibromas are extremely rare. These tumors arise from Schwann cells. The plexiform variant is recognized by tortuous and multinodular gross and microscopic lesions. It has a high risk of malignant transformation. We report a case of a solitary plexiform neurofibroma in a 5-year-old Italian male, who initially presented a right parotid mass of four-month duration. He had not pain, trismus, facial weakness or previous trauma. There was not familiar history of Von Recklinghausen’s disease. TC and MRI scans revealed a mass in the superficial lobe of the parotid gland. A partial parotidectomy was performed. Histopatological examination indicated plexiform neurofibroma. The incidence, presentation, diagnosis and surgical treatment of this lesion are discussed. In our case, the tumor could be readily separated from the main trunk, and facial movement was completely preserved owing to the rich neural network around the mass.展开更多
Treatment of large soft tissue vascular lesions remains one of the greatest challenges in modern plastic surgery.The extent of the disease and the involved structures,but also the expectations of the patients are impo...Treatment of large soft tissue vascular lesions remains one of the greatest challenges in modern plastic surgery.The extent of the disease and the involved structures,but also the expectations of the patients are important in determining the way of treatment.The effective management of hemangiomas and vascular malformations of the head and neck requires a team approach,in order to understand the biologic behavior of the lesion,complete the diagnostic studies necessary to define the area of involvement,and understand the benefits and limitations of interventional radiologic and surgical procedures.The synthesis of this knowledge can help determine the best treatment.The strategic plan and subsequent management of a 34-year-old Maori man with an extensive arteriovenous intraparotid malformation is presented.展开更多
文摘Solitary intraparotid facial nerve plexiform neurofibromas are extremely rare. These tumors arise from Schwann cells. The plexiform variant is recognized by tortuous and multinodular gross and microscopic lesions. It has a high risk of malignant transformation. We report a case of a solitary plexiform neurofibroma in a 5-year-old Italian male, who initially presented a right parotid mass of four-month duration. He had not pain, trismus, facial weakness or previous trauma. There was not familiar history of Von Recklinghausen’s disease. TC and MRI scans revealed a mass in the superficial lobe of the parotid gland. A partial parotidectomy was performed. Histopatological examination indicated plexiform neurofibroma. The incidence, presentation, diagnosis and surgical treatment of this lesion are discussed. In our case, the tumor could be readily separated from the main trunk, and facial movement was completely preserved owing to the rich neural network around the mass.
文摘Treatment of large soft tissue vascular lesions remains one of the greatest challenges in modern plastic surgery.The extent of the disease and the involved structures,but also the expectations of the patients are important in determining the way of treatment.The effective management of hemangiomas and vascular malformations of the head and neck requires a team approach,in order to understand the biologic behavior of the lesion,complete the diagnostic studies necessary to define the area of involvement,and understand the benefits and limitations of interventional radiologic and surgical procedures.The synthesis of this knowledge can help determine the best treatment.The strategic plan and subsequent management of a 34-year-old Maori man with an extensive arteriovenous intraparotid malformation is presented.
