A Case Report of Head and Neck Neurofibroma Cured with Transitional Flap

Korean Journal of Head & Neck Oncology 2006;22(1):36-39.
Published online May 30, 2006.

Jae Woon Do;Sang Woo Park;Joon Hun Jeong;Tae Woo Kang

국소피판으로 치료한 6×7cm 크기의 두경부 신경섬유종 1례

도재운;박상우;정준헌;강태우

Abstract

The Neurofibroma is a benign neoplasm originating from neural tissue such as Schwann cell, fibroblast and peripheral fibroblast, which rarely converts to malignancy. About 25-45% of neurofibroma are located in head and neck, and the most common sites are lateral cervical region and mouth. Because of its high vascularity and invasion to the adjacent organs, surgical resection may be confronted and limited, moreover large neurofibroma can cause large defect that needs various kinds of flap. The factors related to clinically suspected malignancy are painlessness, abrupt increase in size, firm fixation, and central ulceration, although the malignancy rate of neurofibroma is low. The complete resection was failed several times at local clinic, the patient was transferred to our hospital. We have successfully removed the retroauricular neurofibroma using transposition flap & free skin graft on its large defects.

Key Words: Neurofibroma, Fibroadenoma, Head and neck, Lateral cervical region