title: Huge facial desmoid tumors with neck extension: a case report.
abstract: BACKGROUND
  Desmoid tumors are very rare, benign fibrous neoplasms arise from the musculoaponeurotic structures throughout the body.
  
  
  METHODS
  The patient was a seven-year old boy with a large mandibular mass growing over a period of six months. His CT-scan showed a large mass, 13 cm in diameter in the cheek area extending to the neck and trachea. Biopsy was compatible with desmoid fibromatosis. He was given neoadjovant treatment with vinblastin and methotrexate. The patient underwent a tracheostomy. Then a complete hemimandibulectomy and submandibular gland excision was performed. Finally reconstruction with latisimus dorsi free flap was performed.
  
  
  CONCLUSIONS
  Despite rarity desmoid tumors should be kept in mind of an otorhinolaryngologist as a differential diagnosis in children with head and neck mass.
authors.affiliation: Department of Otorhinolaryngology, Jondishapour University of Medical Sciences, Ahwaz, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Ghazipour
authors.affiliation: Department of Otorhinolaryngology, Damascus University of Medical Sciences, Damascus, Syria.
authors.forename: Shervin
authors.initials: S
authors.lastname: Ghavami Lahiji
authors.affiliation: Department Oral and maxillofacial surgery, Damascus University of Medical Sciences, Damascus, Syria.
authors.forename: Bassel
authors.initials: B
authors.lastname: Bradd
authors.affiliation: Department of Otorhinolaryngology, Jondishapour University of Medical Sciences, Ahwaz, Iran.
authors.forename: Fariborz
authors.initials: F
authors.lastname: Saleheh
keywords: Fibromatosis; Fibrous Tissue; Mandibular Diseases; Neoplasms