关键词: 头皮神经纤维瘤, 皮瓣, 皮片, 扩张器, 介入栓塞

Abstract: Objective To explore the individual surgical treatment strategy for neurofibroma. Methods A retrospective analysis was made on the 35 cases of scalp neurofibroma treated in our clinic from January 2006 to June 2016. The size of the tumor, surgical treatments and results were recorded. The surgical treatments included: ① If the tumor diameter was less than 5 cm, tumor resection and local skin flap transfer was performed. ② If the diameter was more than 5cm, skin expander treatment was preferred. And if the patient refused to use the expander, then tumor resection and skin graft was performed instead. ③ If the tumor was very large or hemorrhage occurred in the tumor, preoperative arteriography and superselective embolization of the tumor's nutrient arteries were conducted, and he tumor resection was performed within 3 days after the embolization. Results Fourteen patients were treated with tumor resection and local skin flap transfer. 9 patients were treated with skin expander. 7 patients were treated with tumor resection and skin graft. 5 patients were treated with preoperative arterial embolization, tumor resection and skin graft. All tumors were successfully removed without intraoperative hemorrhage or other life-threatening complications. Marginal necrosis in partial flap, small area of skin graft which failed to survive, were both healed with dressing changing. All the patients were followed up for 6 months to 3 years, no recurrence was observed. Conclusion For the scalp neurofibroma, individualized surgical treatment selection according to the conditions of the tumor (such as the size, blood supply, intra-tumor hemorrhage, etc.) can ensure the intraoperative safety, preserve the scalp appearance, and so get good results.

Key words: Scalp Neurofibroma, Skin flap, Skin graft, Expander, Interventional embolization