JOURNAL OF CRANIOFACIAL SURGERY, cilt.20, sa.3, ss.771-774, 2009 (SCI-Expanded)
Neurofibromatosis (NF) type 1 (von Recklinghausen disease) involves the face in tip to 4% of the cases. Patients present with varying degrees of disfigurement according to the extent and location of the tumor. Many surgeons prefer multiple serial excisions, as it is almost impossible to remove the entire tumor without major extirpative surgery. However, because the "debulkings" are usually not accompanied by durable lift procedures, the skin sags again because of the gravitational effect on the remaining tumor.