국소피판으로 치료한 $6{\times}7cm$ 크기의 두경부 신경섬유종 1례

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

  • Do Jae-Woon (Department of Surgery, Maryknoll General Hospital) ;
  • Park Sang-Woo (Department of Surgery, Maryknoll General Hospital) ;
  • Jeong Joon-Hun (Department of Surgery, Maryknoll General Hospital) ;
  • Kang Tae-Woo (Department of Surgery, Maryknoll General Hospital)
  • 발행 : 2006.05.01

초록

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.

키워드

참고문헌

  1. Seo YI, Nam SY, An KH, Km SY, Lee KS: External nerve sheath tumors of the head and neck. Korean J Otolaryngol. 1997;40:908-913
  2. Kim MS, Kim YH, Jung HJ, Hong WP; A case of neurilemmoma of the posterior wall of the hypopharynx. Korean J Otolaryngol. 1998;41:274-277
  3. Lim YM, Won SY, Rha KS, Yoo JY, Park CI: A clinical analysis of neurilemmoma originated from the head and neck. Korean J Otolaryngol. 1991;34:769-774
  4. Lee GD, Hwanf SSK, Goh JHJ, Wang SG, Chon KM: Three case of neurilemmoma originated from head and neck. Korean J Otolaryngol. 1987;30:781-788
  5. Ishikawa K, Hannzawa S, Togawa K: Neurogenic neoplasia in the head and neck region. Auris Nasus Laryngol. 1988;15:199-210 https://doi.org/10.1016/S0385-8146(88)80028-2
  6. Toriumi KM, Atiyah RA, Murad T: Extracranial neurogenic tumors of the head and neck. Otolaryngol Clin Nor Am. 1986; 19:609-617
  7. Kragh LV, Soule EH, Masson JK: Benign and malignant neurilemmomas of the head and neck. Surg Gyn Obst. 1960;111:211-218