PDF(Pubmed)
Abstract：
Plexiform neurofibroma is a rare benign tumor and a special subtype of neurofibromatosis 1. This report is a literature review with a case of patient with facial hemorrhage observed at the site of neurofibroma removal in the right lower face due to minor trauma. Through PubMed search, using terms ((facial hematoma) OR (facial bleeding)) AND (neurofibromatosis), 86 articles were identified, and five related articles (six patients) were finally selected. Of the six patients, two had previously undergone embolization. However, as a result, all patients received open surgery to remove hematomas. The hemostatic methods mentioned were vascular ligation (five patients), hypotensive anesthesia (two patients), and postoperative blood transfusion (four patients). In conclusion, spontaneous or minimally traumatic bleeding is possible in neurofibromatosis patients. In most cases, it can be resolved by vascular ligation under hypotensive anesthesia. Optionally, prior embolization and supplementary tissue adhesive may be used.
摘要：
丛状神经纤维瘤是一种罕见的良性肿瘤，是神经纤维瘤病的一种特殊亚型。本报告是文献综述，其中一例患者因轻微创伤而在右下面部神经纤维瘤切除部位观察到面部出血。通过PubMed搜索,使用术语（（面部血肿）或（面部出血））和（神经纤维瘤病），确认了86篇文章，最终选择5篇相关文章(6例患者)。六个病人中,其中2人曾接受过栓塞治疗.然而,因此,所有患者均接受开放手术切除血肿.提到的止血方法是血管结扎（5例），低血压麻醉（两名患者），术后输血（4例）。总之,在神经纤维瘤病患者中,自发性或轻微创伤性出血是可能的.在大多数情况下,它可以通过在降压麻醉下的血管结扎来解决。可选地,可以使用预先栓塞和补充组织粘合剂。
