en
Scientific article
Meta-analysis
English

A facial inflammatory myofibroblastic tumour in a 6-year-old girl: plastic surgery lessons from a rare case

Published inJournal of cranio-maxillo-facial surgery, vol. 39, no. 2, p. 141-144
Publication date2011
Abstract

Inflammatory myofibroblastic tumours (IMT) are rare, challenging lesions with respect to differential diagnosis, biological behaviour and treatment. We reviewed the literature and report a unique case of a large (9 × 8 × 8 cm) IMT in the nasal region of a 6-year-old girl responsible for important facial deformation. Following surgical resection, without any craniofacial reconstruction, the dysmorphism regressed spontaneously with a good result at 2 years of follow-up. To date, this is the largest IMT reported. Surprisingly, after simple excision of the tumour the craniofacial bones and soft tissues regained spontaneously their normal anatomical position only after a few months. The bone plasticity was likely due to the young age of patient and the preservation of periosteum and muscles during the surgical excision. We conclude that a conservative approach may be considered as alternative to reconstructive surgery in particular cases in young subjects.

Keywords
  • Bone Regeneration
  • Child
  • Facial Bones/growth & development
  • Facial Neoplasms/pathology/radiography/surgery
  • Female
  • Granuloma, Plasma Cell/pathology/radiography/surgery
  • Humans
  • Myofibroblasts/pathology
  • Neoplasm Recurrence, Local/radiography/surgery
  • Neoplasms, Muscle Tissue/pathology/radiography/surgery
  • Treatment Outcome
Citation (ISO format)
MODARRESSI GHAVAMI, Seyed Ali et al. A facial inflammatory myofibroblastic tumour in a 6-year-old girl: plastic surgery lessons from a rare case. In: Journal of cranio-maxillo-facial surgery, 2011, vol. 39, n° 2, p. 141–144. doi: 10.1016/j.jcms.2010.11.015
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Article (Published version)
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ISSN of the journal1010-5182
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