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Surgical Treatment of Eyelid Neurofibromas

Surgical Treatment of Eyelid Neurofibromas Abstract • The classical surgical treatment of eyelid neurofibromas has been careful dissection of the tumor with preservation of much of the surrounding abnormal lid tissues. The reported outcome has been uniformly unfavorable. These tumors infiltrate extensively and are impossible to dissect out completely. However, the lateral location of lid neurofibromas allows "en bloc" resection of most of the tumor including the adjacent involved lid tissues. Levator function in these cases is potentially good and the lid will elevate Well if the levator aponeurosis is joined to the tarsus laterally at the time of surgery. The four cases presented here indicate that this procedure is technically easier and may produce more acceptable results than other forms of treatment. (Arch Ophthalmol 95:479-483, 1977) References 1. Beard C: Blepharoptosis: Clinical evaluation and therapeutic rationale , in Ophthalmic Plastic Surgery, International Ophthalmology Clinics , No. 1, Spring 1970, vol 10. 2. Beard C: Ptosis . St. Louis, CV Mosby Co, 1969, p 122. 3. Reese AB: Tumors of the Eye . New York, Harper & Row, 1963. 4. Spaeth E: Surgical correction of neurofibromatosis about the orbit . Va Med Mon 68:630-642, 1941. 5. Kulvin MM: Surgical repair of neurofibromatosis of the eyelid . Am J Ophthalmol 32:1231-1244, 1949. 6. Dabezies OH Jr, Walsh FB: Pulsating enophthalmos in association with neurofibromas of the eyelid . Trans Am Acad Ophthalmol Otolaryngol 65:885-897, 1961. 7. Charleux J: Les manifestations plapebrales et orbitaires de la neurofibromatose de Recklinghausen . Ann Ocul 193:930-962, 1960. 8. Smith B, English FP: Classical eyelid border sign of neurolibromatosis . Br J Ophthalmol 54:134-135, 1970.Crossref 9. Girard LJ, Freeman BS, Makk L: Plexiform Neuroma of the Periorbital area . Trans Am Acad Ophthalmol Otolaryngol 66:242-259, 1962. 10. Darabos G, Valu L, Zajacz M: Neurofibromatose Mit Lid-Elephantiasis . Klin Monatsbl Augenheilkd 132:303-308, 1963. 11. Zaikov MV: Surgical interference in neurofibromatosis of the eyelids and orbit . Oftalmol Zh 4:280-282, 1965. 12. Snell S, Collins T: Plexiform neuroma of temporal region, orbit, eyelid, and eyeball . Trans Ophthalmol Soc UK 23:157-177, 1903. 13. Mann I: Developmental anomalies of the eye . Philadelphia, Lippincott, 1957, p 380. 14. Walsh F, White W: Clinical Neurophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969, p 1944. 15. Shoukry II: Neurofibromatosis with ocular involvement . Bull Ophthalmol Soc Egypt 55:259-306, 1962. 16. Walsh F, White W: Clinical Neurophthalmology , ed 2. Baltimore, Williams & Wilkins, 1957. 17. Davis WB, Edgerton T, Hoffmeister SF: Neurofibromatosis of the head and neck . Plast Reconstr Surg 14:186-199, 1954. 18. Kragh LV, Soule EH, Masson JK: Neurofibromatosis of the head and neck: Cosmetic and reconstructive aspects . Plast Reconstr Surg 25:565-573, 1960.Crossref 19. Francoise J: Ocular aspects of the phakoma ptosis , in Veinken PJ, Bruyn GW (eds): The Handbook of Clinical Neurology . 1972, vol 14, pp 624-627. 20. Podolsky ML, Fields WL: Plexiform neuroma of the trigeminal nerve . J Pediatr 45:707-716, 1954.Crossref 21. Minor CL, Koop EC: Experiences with the management of plexiform neurofibroma . Pediatrics 24:482-488, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1977.04450030121018
Publisher site
See Article on Publisher Site

Abstract

Abstract • The classical surgical treatment of eyelid neurofibromas has been careful dissection of the tumor with preservation of much of the surrounding abnormal lid tissues. The reported outcome has been uniformly unfavorable. These tumors infiltrate extensively and are impossible to dissect out completely. However, the lateral location of lid neurofibromas allows "en bloc" resection of most of the tumor including the adjacent involved lid tissues. Levator function in these cases is potentially good and the lid will elevate Well if the levator aponeurosis is joined to the tarsus laterally at the time of surgery. The four cases presented here indicate that this procedure is technically easier and may produce more acceptable results than other forms of treatment. (Arch Ophthalmol 95:479-483, 1977) References 1. Beard C: Blepharoptosis: Clinical evaluation and therapeutic rationale , in Ophthalmic Plastic Surgery, International Ophthalmology Clinics , No. 1, Spring 1970, vol 10. 2. Beard C: Ptosis . St. Louis, CV Mosby Co, 1969, p 122. 3. Reese AB: Tumors of the Eye . New York, Harper & Row, 1963. 4. Spaeth E: Surgical correction of neurofibromatosis about the orbit . Va Med Mon 68:630-642, 1941. 5. Kulvin MM: Surgical repair of neurofibromatosis of the eyelid . Am J Ophthalmol 32:1231-1244, 1949. 6. Dabezies OH Jr, Walsh FB: Pulsating enophthalmos in association with neurofibromas of the eyelid . Trans Am Acad Ophthalmol Otolaryngol 65:885-897, 1961. 7. Charleux J: Les manifestations plapebrales et orbitaires de la neurofibromatose de Recklinghausen . Ann Ocul 193:930-962, 1960. 8. Smith B, English FP: Classical eyelid border sign of neurolibromatosis . Br J Ophthalmol 54:134-135, 1970.Crossref 9. Girard LJ, Freeman BS, Makk L: Plexiform Neuroma of the Periorbital area . Trans Am Acad Ophthalmol Otolaryngol 66:242-259, 1962. 10. Darabos G, Valu L, Zajacz M: Neurofibromatose Mit Lid-Elephantiasis . Klin Monatsbl Augenheilkd 132:303-308, 1963. 11. Zaikov MV: Surgical interference in neurofibromatosis of the eyelids and orbit . Oftalmol Zh 4:280-282, 1965. 12. Snell S, Collins T: Plexiform neuroma of temporal region, orbit, eyelid, and eyeball . Trans Ophthalmol Soc UK 23:157-177, 1903. 13. Mann I: Developmental anomalies of the eye . Philadelphia, Lippincott, 1957, p 380. 14. Walsh F, White W: Clinical Neurophthalmology , ed 3. Baltimore, Williams & Wilkins, 1969, p 1944. 15. Shoukry II: Neurofibromatosis with ocular involvement . Bull Ophthalmol Soc Egypt 55:259-306, 1962. 16. Walsh F, White W: Clinical Neurophthalmology , ed 2. Baltimore, Williams & Wilkins, 1957. 17. Davis WB, Edgerton T, Hoffmeister SF: Neurofibromatosis of the head and neck . Plast Reconstr Surg 14:186-199, 1954. 18. Kragh LV, Soule EH, Masson JK: Neurofibromatosis of the head and neck: Cosmetic and reconstructive aspects . Plast Reconstr Surg 25:565-573, 1960.Crossref 19. Francoise J: Ocular aspects of the phakoma ptosis , in Veinken PJ, Bruyn GW (eds): The Handbook of Clinical Neurology . 1972, vol 14, pp 624-627. 20. Podolsky ML, Fields WL: Plexiform neuroma of the trigeminal nerve . J Pediatr 45:707-716, 1954.Crossref 21. Minor CL, Koop EC: Experiences with the management of plexiform neurofibroma . Pediatrics 24:482-488, 1959.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Mar 1, 1977

References