Massive oral neurofibroma treated under local anesthesia: case report

• Published in: International dental journal 2024-10, Vol.74, p.S69-S69
• Main Authors: Deoglas, David Kiwango, Laizer, Paulo Joseph, Owibingire, Sira Stanslaus, Ramadhani, Shafii S, Sohal, Karpal Singh
• Format: Article
• Language: English
• ISSN: 0020-6539
• DOI: 10.1016/j.identj.2024.07.777

Neurofibroma is the common benign neoplasm of peripheral nerves which present as solitary or as part of a syndrome. Skin is most affected and oral cavity being rarely involved. Central involvement in jaws is unusual because bones do not contain medullary nerves or nerve sheath. A case of massive solitary neurofibroma is hereby presented. A 62-year-old female patient presented with a swelling protruding outside the mouth for 2 years. A CT scan was performed revealing a 12 x 10 x 8 cm lesion on the right maxillary alveolus. An impression of peripheral giant cell granuloma was provisionally made. Due to financial constraints, team discussion concluded on performing total excision under local anesthesia with mild sedation after obtaining consent. The swelling was removed with the involved teeth, area curated, and soft tissue repair was performed. Histological investigation revealed a neurofibroma. No recurrence after one year follow up. Head and neck region observe roughly 25% of neurofibromas and only 6% of neurofibromas occur in the oral cavity. They present similar to other benign oral lesion, thorough evaluation is mandatory to rule it out from other common conditions. Due to its slow growth and painless nature, it is associated with delay in seeking healthcare. Treatment under local anesthesia can be done due to its pedunculated presentation. Complete removal is mandatory as recurrencies have been reported. Neurofibroma should be considered as differential diagnosis for oral benign swellings. In resource limited environment management of oral lesions can be done under local anesthesia after thorough evaluation.