title: Facial elephantiasis neurofibromatosa--excision and skin graft.
abstract: A case of left facial elephantiasis neurofibromatosa was treated with near-total excision and skin graft. Results were favorable. Repositioning of canthal ligaments, preserving part of relatively normal masseter muscle and primary nasal reconstruction with forehead flap were performed. The skin graft over the myxomatous muscle was successful. Troublesome bleeding was avoided or controlled by incising the normal skin, subperiosteal dissection, hypotensive anesthesia, and chromic catgut suture ligature.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
authors.forename: Y R
authors.initials: YR
authors.lastname: Chen
authors.forename: K T
authors.initials: KT
authors.lastname: Chen
authors.forename: M S
authors.initials: MS
authors.lastname: Noordhoff
mesh_terms: D000328:Adult; D004604:Elephantiasis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005145:Face / Q000473:pathology / Q000601:surgery*; D005153:Facial Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008209:Lymphedema / Q000601:surgery*; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods*