Solitary Intraparotid Facial Nerve Plexiform NeurofibromaReport as inadecuate




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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.

KEYWORDS

Intraparotid Facial Nerve, Plexiform Neurofibroma, Parapharyngeal Space

Cite this paper

Mesolella, M. , Lullo, A. , Ricciardiello, F. , Oliva, F. , Pianese, A. , Misso, G. and Iengo, M. 2014 Solitary Intraparotid Facial Nerve Plexiform Neurofibroma. International Journal of Clinical Medicine, 5, 1125-1129. doi: 10.4236-ijcm.2014.518144.





Author: Massimo Mesolella1, Antonella Miriam Di Lullo1, Filippo Ricciardiello1*, Flavia Oliva1, Annalisa Pianese1, Gabriella Misso2, Maur

Source: http://www.scirp.org/



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