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Solitary Extraosseous Neurofibroma in a 5-Year-Old Child - A Case Report
Omri Emodi1,2, Andrei Krasovsky1, Ragda Abdalla-Aslan1,3
1Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Haifa, Israel.
Rationale:
Neurofibroma (NF) is the most common benign peripheral nerve sheath tumour that most often occurs as a solitary tumour. A clinical and imaging diagnosis may be challenging since no distinctive features are unique for this lesion. Solitary NFs are treated by complete resection that may sometimes require a nerve sacrifice, ending with a neurological deficit.
Patient Concerns:
A 5-year-old girl with mild asymptomatic slow-growing swelling in the vestibulum of her right mandible.
Diagnosis:
A solitary variant of extraosseous NF involving the right mental branch of the inferior alveolar nerve.
Treatment:
Surgical removal of the lesion while fully preserving the mental branch.
Outcomes:
No sensory deficit was identified during a 3-month follow-up.
Take-Away Lessons:
Ultrasonography is a valuable tool for evaluating soft-tissue masses of the oral cavity. A solitary extraosseous NF involving the mental branch can be surgically removed without nerve deficit.
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