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

Published in Journal of cranio-maxillo-facial surgery. 2011, vol. 39, no. 2, p. 141-4
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 RegenerationChildFacial Bones/growth & developmentFacial Neoplasms/pathology/radiography/surgeryFemaleGranuloma, Plasma Cell/pathology/radiography/surgeryHumansMyofibroblasts/pathologyNeoplasm Recurrence, Local/radiography/surgeryNeoplasms, Muscle Tissue/pathology/radiography/surgeryTreatment Outcome
PMID: 21194962
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Research groups Groupe Pittet Cuenod Brigitte (chirurgie plastique et reconstructive) (96)
Groupe Scolozzi Paolo (chirurgie maxillo-faciale et buccale) (896)
Swiss National Science Foundation: 310030_120571
(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. 141-4. doi: 10.1016/j.jcms.2010.11.015 https://archive-ouverte.unige.ch/unige:24769

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Deposited on : 2012-12-19

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