Neurofibroma of the pterygo-palatine fossa in a child

*Lechosław P. Chmielik, Romuald Krajewski¹

Summary
Summary
Tumors in the pterygo-palatine fossa are rarely sun in children. The authors present a case of a boy with a neurofibroma of the pterigo-palatine fossa, which was treated in our clinic.
The neurofibroma is a benign tumor which can be included in the group of genetic syndromes. In the literature we can find opinions that this growth can become malignant.
These tumors arise from nerves, and can be found in different parts of the body. They can occur as a single growth, or many.
They are not often found in children, which is why we are presenting this case; an eight-year-old boy was referred to the clinic because of a growth in the cheek. Computerised tomography, and an MRI scan, showed a growth in the pterygo-palatinum fossa, entering the orbit, and invading the structures of the cheek. A specimen from the growth, and an enlarged node from the area of the mandible, were sent for a histo-pathological examination.
The check showed neurofibroma and the boy was qualified for surgical treatment. The operation was a modification of Fischer C, carried cut on 16.3.2006, protecting the facial nerve. A cut was made in the skin of the head, half-coronary, after which the muscles were cut, allowing inspection of the rim of the orbit and the zygomatic bone, which was removed. In the area of the subtemporal fossa and in the temporal area we could see the mass of the tumor, which was removed, together with the tumor from the subtemporal fossa depression and the check tissue. Ficher C is an efficient method of removing changes in the pterygo –palatine fossa. Patients with neurofibroma require long-term control, and multi-specialist treatment.

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