title: Management of airway obstruction in a severe case of juvenile hyaline fibromatosis.
abstract: Juvenile hyaline fibromatosis (JHF) is an extremely rare, genetic disease with unknown etiology. It is characterized by cutaneous nodules and flexural joint contractures, along with hypertrophy of the gingival and oral mucosa, which is probably the most striking and morbidity-related feature of the disease. An advanced case of JHF with prominent growth retardation, recurrent respiratory tract infections, and impending upper respiratory tract obstruction due to severe hypertrophy of the oral mucosa and gingiva is presented. Surgical excision of the hypertrophic oral mucosa and cutaneous nodules in the scalp was performed. No major recurrence of the mucosal lesions was observed at the first postoperative year.
authors.affiliation: Istanbul Medical Faculty, Department of Plastic, Reconstructive Surgery, Istanbul, Turkey.
authors.forename: Aylin Bilgin
authors.initials: AB
authors.lastname: Karabulut
authors.forename: Burcu Celet
authors.initials: BC
authors.lastname: Ozden
authors.forename: Defne
authors.initials: D
authors.lastname: Onel
authors.forename: Misten
authors.initials: M
authors.lastname: Demiryont
mesh_terms: D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D002648:Child; D005260:Female; D005351:Fibromatosis, Gingival / Q000150:complications / Q000378:metabolism / Q000601:surgery; D005887:Gingival Neoplasms / Q000150:complications / Q000378:metabolism / Q000601:surgery; D006801:Humans; D006818:Hyalin / Q000378:metabolism*; D009367:Neoplasm Staging; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*