title: Alar rim neurothekeoma in a child.
abstract: OBJECTIVE
  We report on the case of an 11-year-old girl with atypical neurothekeoma of the left lateral alar rim that was excised and ultimately closed primarily after an unsuccessful attempt at reconstruction with a full-thickness auricular composite graft.
  
  
  METHODS
  In this case report, we present a description of the case and a review of the literature.
  
  
  RESULTS
  The patient underwent successful excision of neurothekeoma and subsequent auricular cartilage graft reconstruction. Reconstruction failed to adequately heal at several months postoperatively and the defect was closed primarily.
  
  
  CONCLUSIONS
  Rapidly growing nodules of the nose can have a broad differential and requires pathological diagnosis via early biopsy. This is important because the surgical approach varies depending on the lesion and its potential for metastasis and local growth.
authors.affiliation: Department of Surgery, Division of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA. samuel.moak@gmail.com
authors.forename: Samuel
authors.initials: S
authors.lastname: Moak
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Weinstein
authors.forename: Joseph
authors.initials: J
authors.lastname: Lupo
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Poole
authors.forename: Ernest S
authors.initials: ES
authors.lastname: Chiu
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D018321:Neurothekeoma / Q000175:diagnosis* / Q000601:surgery*; D009669:Nose Neoplasms / Q000175:diagnosis* / Q000601:surgery*