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Neurofibromatose tipo 1 com acometimento do nervo infraorbital: relato de caso / Neurofibromatosis type 1 with infraorbital nerve involvement: a case report
Gonçalves, Marcus Vinícius Capanema; Costa, Sérgio Moreira Da; Jamil, Liliane Carvalho; Oliveira, Klaus Rodrigues De; Botelho, Paula Pimentel Rocha; Versiani, Camila Matos; Motta, Andreia Souto Da.
  • Gonçalves, Marcus Vinícius Capanema; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Costa, Sérgio Moreira Da; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Jamil, Liliane Carvalho; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Oliveira, Klaus Rodrigues De; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Botelho, Paula Pimentel Rocha; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Versiani, Camila Matos; Hospital Felício Rocho. Belo Horizonte, MG. BR
  • Motta, Andreia Souto Da; Hospital Felício Rocho. Belo Horizonte, MG. BR
Rev. bras. cir. plást ; 34(4): 552-556, oct.-dec. 2019. ilus
Article in English, Portuguese | LILACS | ID: biblio-1047925
RESUMO
A neurofibromatose tipo 1 é uma doença autossômica dominante rara, com manifestações clínicas diversas. Sua apresentação mais marcante é a presença de neurofibromas (tumores da bainha neural) cutâneos ou internos, que também podem ocorrer de forma esporádica, associados a outras manifestações sistêmicas, como manchas café com leite e lesões oculares. Por serem tumores da bainha de mielina, os neurofibromas podem acometer diversos nervos periféricos, incluindo nervos da face. Apresentamos o caso de um paciente de 1 ano, portador de neurofibromatose tipo 1, com neurofibroma em nervo infraorbital direito, com o acesso proposto para tratamento cirúrgico que fornecesse ampla visualização e acesso a lesão, sem comprometimento estético importante, permitindo preservação de partes moles e adequado crescimento facial.
ABSTRACT
Neurofibromatosis type 1 (NF1) is a rare autosomal dominant disease with multiple clinical manifestations. Its most significant presentation is cutaneous or subcutaneous neurofibromas (myelin sheath tumors), which may be associated with other systemic manifestations such as caféau- lait spots and eye involvement. Neurofibromas can affect several peripheral nerves, including the facial nerves. This report presents a case of a 1-year-old patient with NF1 with right infraorbital nerve neurofibroma in which the proposed access for surgical treatment allowed adequate visualization of the tumor with good aesthetic results, preservation of the soft tissues, and normal facial growth.
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Full text: Available Index: LILACS (Americas) Main subject: Orbit / Surgical Procedures, Operative / Orbital Pseudotumor / Neurofibromatoses / Nerve Sheath Neoplasms / Face / Neurofibroma Type of study: Diagnostic study Limits: Humans / Infant / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Felício Rocho/BR

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Full text: Available Index: LILACS (Americas) Main subject: Orbit / Surgical Procedures, Operative / Orbital Pseudotumor / Neurofibromatoses / Nerve Sheath Neoplasms / Face / Neurofibroma Type of study: Diagnostic study Limits: Humans / Infant / Male Language: English / Portuguese Journal: Rev. bras. cir. plást Journal subject: General Surgery Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Felício Rocho/BR