Abstract：
Neurofibromatosis is an autosomal dominant disorder characterized by tumors of the nervous system and skin. Plexiform neurofibromas are common complications of neurofibromatosis type 1 and can cause large facial deformities. Vascular anomalies are in turn a rare manifestation of neurofibromatosis. We present the case of a 48-year-old female patient with right hemifacial neurofibromatosis associated with venous vascular malformation, previously treated surgically and then with sclerosing agents, determining severe residual facial deformity. Her surgical approach using a modified facelift technique associated with partial tumor debulking and lipofilling seems to be a valid technical alternative for these highly complex cases that require a customized approach after exhaustive preoperative evaluation.
摘要：
神经纤维瘤病是一种以神经系统和皮肤肿瘤为特征的常染色体显性疾病。丛状神经纤维瘤是1型神经纤维瘤病的常见并发症，可引起较大的面部畸形。血管异常又是神经纤维瘤病的罕见表现。我们介绍了一名48岁女性患者，患有右半面神经纤维瘤病并伴有静脉血管畸形，以前手术治疗，然后用硬化剂，确定严重的残余面部畸形。对于这些高度复杂的病例，她使用与部分肿瘤减积和脂肪填充相关的改良整容技术的手术方法似乎是一种有效的技术选择，这些病例需要在详尽的术前评估后进行定制方法。
