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논문검색

학회지 > 논문검색
논문 검색
Jung Yong Suh, Yong Bae Kim, Soon Jae Yang
Department of Plastic and Reconstructive Surgery, College of Medicine Soon chun hyang University Hospital, Seoul, Korea
NEUROFIBROMA ORIGINATING IN FACIAL NERVE
J Korean Soc Aesth Surg 1995 (Sep) 001(16) 331-337
Neurofibroma, Facail nerve
Ksaps001-02-16.pdf Ksaps001-02-16.pdf
Neurofibroma originating in the peripheral facial nerve located in the parotid gland is a very rare disease which has been reported by Maxwell(1951) and Michael(1987). This tumor must be diagnosed differently than schwannoma and neurugenic tumors. When this lesion develops in the parotid region, parotid gland tumor must be rulled out. It can be diagnosed with difficulty using aspiration, and conclusively diagnosed using histological biopsy.
 This benign but clinically malignant tumor has no capsule and multiple outgrowth with bag of worms findings on palpation, which extends across the neuronal axon without degenratve changes. This rare lesion can be manifested as a part of neurofibromatosis, solitary or multiple tumor with more frequent sarcmatous degenerations than schwannoma. But schwannoma which has the characteristics of circumscribed, well-encapsulated findings, pretends to push the axon eccentrically with cystic or hemorragic degenerative changes in a solitary lesion. To excise this poorly encapsulated neurofibroma, enbloc resection containing nerve fibers in inevitable, and nerve preservation procedures are unattainable. So intraparotid facial nerve neurofibroma cannot be confirmed by preperative evaluation, and managements, whether any nerve preservation methods can be chosen or not, is very difficult and depend on size, location, and degree of the outgrowth. Until recent days, primary neurogenic tumors in peripheral facial nerve origin are almost all reported as Schwannoma except for 2 previous cases.
 The authers reported on case of solitary nerofibroma originating in the buccal branch of the facial nerve. This was excised completely under microscopic magnification without any complications.
서정용, 김용배, 양순재
순천향대학교 의과대학 성형외과학교실
안면신경에서 발생된 신경섬유종의 치험례
1995 (Sep) 001(16) 331-337