Oral Neurofibroma Treatment & Management
- Author: Indraneel Bhattacharyya, DDS, MSD; Chief Editor: William D James, MD more...
Solitary oral neurofibromas are usually treated by surgical excision, depending on the extent and the site. Excision with preservation of the nerve is preferred. However, for neurofibromas associated with neurofibromatosis, surgical removal is attempted only for functional or cosmetic reasons. Surgical removal may result in recurrence, and multiple recurrences have been associated with malignant transformation. Genetic evaluation and counseling is suggested if a syndromic effect is suspected.
Many authorities believe that any individual presenting with neurofibroma at an early age (< 20 y) should be referred for genetic studies to rule out the possibility of neurofibromatosis. Consultation with a geneticist and a family physician may be critical in establishing a diagnosis of neurofibromatosis.
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