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Published byVirgil Cannon Modified over 6 years ago
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Massive plexiform neurofibroma with associated meningo-encephalocoele and occipital bone defect presenting as a cervical mass A Renshaw, M Borsetti, R.J Nelson, A Orlando British Journal of Plastic Surgery Volume 56, Issue 5, Pages (July 2003) DOI: /S (03)
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Fig. 1 Pendulous neurofibroma extending from the left auricular region down into the neck and shoulder, with an inferiorly displaced left pinna. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 2 MRI scan showing a massive structure extending through the soft tissues on the left side of the neck with small cystic areas and multiple vessels. These appearances are consistent with a plexiform neurofibroma with vascular components. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 3 CT scan shows an extensive developmental abnormality involving the left side of the neck. The dysplastic left cerebellar hemisphere partly herniating into the occipital region represents an encephalocoele. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 4 Three-dimensional CT scan reveals a bony defect in the occipital region on the left, with a bony and arachnoid defect in the medial part of the left petrous bone. There is a further defect in the expected area of the lambda, and an osteoma is seen above the superior margin of the defect in the low left parietal area. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 5 Pre-operative photograph.
British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 6 Debulking of the plexiform neurofibroma and raising of advancement and rotational flaps. British Journal of Plastic Surgery , DOI: ( /S (03) )
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Fig. 7 Post-operative photograph at 3 months.
British Journal of Plastic Surgery , DOI: ( /S (03) )
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