International Journal of Neurologic Physical Therapy

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Trapezius Flap Reconstruction of Scalp Defect After Removal of Occipital Fibrosarcoma in Neurofibromatosis Type I Patient

Received: Aug. 27, 2017    Accepted: Sep. 11, 2017    Published: Oct. 28, 2017
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Abstract

Neurofibromatosis type 1 (NF1) is an autosomal dominant condition affecting approximately 1 in 3000 live births. The manifestations of this condition are extremely variable, even within families, and genetic counseling is consequently difficult with regard to prognosis. Individuals with NF1 are acknowledged to be at increased risk of malignancy. Several studies have previously attempted to quantify this risk, but have involved relatively small study populations. Soft tissue tumors represent a heterogeneous group of mesenchymal and neural lesions. We report a case of giant scalp Fibrosarcoma of the scalp in patient with neurofibromatosis type I without intracranial extension, in a 35 year old female which was excised completely along with the involved overlying skin, and reconstruction was done to cover the defect using trapezius flap and split thickness skin graft from the right thigh. She is doing well after treatment and is in regular follow up while awaiting further management by the oncologists.

DOI 10.11648/j.ijnpt.20170305.12
Published in International Journal of Neurologic Physical Therapy ( Volume 3, Issue 5, October 2017 )
Page(s) 44-48
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Neurofibromatosis Type I, Fibrosarcoma, Trapezius Flap, Scalp Defect

References
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[2] Paul Sugarbaker: Management of Truncal Sarcoma Malawer Chapter 08 21/02/2001 15:21 Page 167-177).
[3] Lynch HT, Deters CA, Hogg D, et al: Familial sarcoma: Challenging pedigrees. Cancer 98:1947, 2003.[PubMed: 14584079.
[4] Leedy J. Scalp and calvarial reconstruction. In: Janis JE, ed. Essentials of Plastic Surgery. St Louis, Mo: Quality Medical Publishing Inc; 2007:279-86.
[5] Feintisch et al. Inferior Trapezius Myocutaneous Flap as Salvage Procedure for Large Posterior Scalp Defect. www.ePlasty.com, Interesting Case, July 28, 2015.
[6] Yap L, Langstein H. Reconstruction of the scalp, calvarium, and forehead. In: Thorne CH, Bartlett SP, Beasley RW, Aston SJ, Gurtner GC, Spear SL, eds. Grabb and Smith’s Plastic Surgery. 6th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2007:358-66.
[7] Ramzisham AR, Somasundaram S, Nasir ZM, Ali F, Das S. Successful free omental flap and skin graft reconstruction of scalp avulsion injury. Clin Ter. 2010;161(5):453-5.
[8] Mohamedtaki A. Tejani, Thomas J. Galloway et al. Head and Neck Sarcomas: A Comprehensive Cancer Center Experience. Cancers july 2013, 5, 890-900; doi:10.3390/cancers5030890.
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[10] L Walker, D Thompson, A prospective study of neurofibromatosis type 1 cancer incidence in the UK. British Journal of Cancer (2006) 95, 233–238.
[11] Sorensen SA, Mulvihill JJ, Nielsen A (1986) Long-term follow-up of von Recklinghausen neurofibromatosis: survival and malignant neoplasms. N Engl J Med 314: 1010–1015.
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[15] Chen Y, Wang JM, Li JT. (2007). Ameloblastic fibroma: A review of published studies with special reference to its nature and biological behavior. Oral Oncology; 43:960-9.
[16] Wadhwan V et al, 2010. (Wadhwan V, Chaudhary MS, Gawande M. (2010) Fibrosarcoma of the oral cavity. Indian J Dent Res; 21:295-8.
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[18] Netterville JL, Wood DE. The lower trapezius flap. Vascular anatomy and surgical technique. Arch Otolaryngol Head Neck Surg 1991;117:73-6.
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[20] Soo Kwang Yoon1, Seung Han Song et al. Reconstruction of the Head and Neck Region Using Lower Trapezius Musculocutaneous Flaps. Sep 2012 pISSN: 2234-6163 • eISSN: 2234-6171. http://dx.doi.org/10.5999/aps.2012.39.6.626 • Arch Plast Surg 2012;39:626-630.
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Cite This Article
  • APA Style

    Kantenga Dieu Merci Kabulo, Patrice Ntenga, Kelvin Nemayire, Nathanael Harunangoni Zimani, Aaron Musara, et al. (2017). Trapezius Flap Reconstruction of Scalp Defect After Removal of Occipital Fibrosarcoma in Neurofibromatosis Type I Patient. International Journal of Neurologic Physical Therapy, 3(5), 44-48. https://doi.org/10.11648/j.ijnpt.20170305.12

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    ACS Style

    Kantenga Dieu Merci Kabulo; Patrice Ntenga; Kelvin Nemayire; Nathanael Harunangoni Zimani; Aaron Musara, et al. Trapezius Flap Reconstruction of Scalp Defect After Removal of Occipital Fibrosarcoma in Neurofibromatosis Type I Patient. Int. J. Neurol. Phys. Ther. 2017, 3(5), 44-48. doi: 10.11648/j.ijnpt.20170305.12

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    AMA Style

    Kantenga Dieu Merci Kabulo, Patrice Ntenga, Kelvin Nemayire, Nathanael Harunangoni Zimani, Aaron Musara, et al. Trapezius Flap Reconstruction of Scalp Defect After Removal of Occipital Fibrosarcoma in Neurofibromatosis Type I Patient. Int J Neurol Phys Ther. 2017;3(5):44-48. doi: 10.11648/j.ijnpt.20170305.12

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  • @article{10.11648/j.ijnpt.20170305.12,
      author = {Kantenga Dieu Merci Kabulo and Patrice Ntenga and Kelvin Nemayire and Nathanael Harunangoni Zimani and Aaron Musara and Sitshengiso Matshalaga and Kusezweni Kevin Nduku and Rudo Makunike-Mutasa and Kazadi Kaluile Ntenga Kalangu},
      title = {Trapezius Flap Reconstruction of Scalp Defect After Removal of Occipital Fibrosarcoma in Neurofibromatosis Type I Patient},
      journal = {International Journal of Neurologic Physical Therapy},
      volume = {3},
      number = {5},
      pages = {44-48},
      doi = {10.11648/j.ijnpt.20170305.12},
      url = {https://doi.org/10.11648/j.ijnpt.20170305.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijnpt.20170305.12},
      abstract = {Neurofibromatosis type 1 (NF1) is an autosomal dominant condition affecting approximately 1 in 3000 live births. The manifestations of this condition are extremely variable, even within families, and genetic counseling is consequently difficult with regard to prognosis. Individuals with NF1 are acknowledged to be at increased risk of malignancy. Several studies have previously attempted to quantify this risk, but have involved relatively small study populations. Soft tissue tumors represent a heterogeneous group of mesenchymal and neural lesions. We report a case of giant scalp Fibrosarcoma of the scalp in patient with neurofibromatosis type I without intracranial extension, in a 35 year old female which was excised completely along with the involved overlying skin, and reconstruction was done to cover the defect using trapezius flap and split thickness skin graft from the right thigh. She is doing well after treatment and is in regular follow up while awaiting further management by the oncologists.},
     year = {2017}
    }
    

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    AU  - Kantenga Dieu Merci Kabulo
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    AU  - Rudo Makunike-Mutasa
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    T2  - International Journal of Neurologic Physical Therapy
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    AB  - Neurofibromatosis type 1 (NF1) is an autosomal dominant condition affecting approximately 1 in 3000 live births. The manifestations of this condition are extremely variable, even within families, and genetic counseling is consequently difficult with regard to prognosis. Individuals with NF1 are acknowledged to be at increased risk of malignancy. Several studies have previously attempted to quantify this risk, but have involved relatively small study populations. Soft tissue tumors represent a heterogeneous group of mesenchymal and neural lesions. We report a case of giant scalp Fibrosarcoma of the scalp in patient with neurofibromatosis type I without intracranial extension, in a 35 year old female which was excised completely along with the involved overlying skin, and reconstruction was done to cover the defect using trapezius flap and split thickness skin graft from the right thigh. She is doing well after treatment and is in regular follow up while awaiting further management by the oncologists.
    VL  - 3
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    ER  - 

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Author Information
  • Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe

  • Neurological Clinic of the National Teaching Hospital-FANN, Dakar, Senegal

  • Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe

  • Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe

  • Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe

  • Department of Histopathology, University of Zimbabwe, Harare, Zimbabwedmkabulo@gmail.com

  • Department of Plastic Surgery, University of Zimbabwe, Harare, Zimbabwe

  • Department of Histopathology, University of Zimbabwe, Harare, Zimbabwe

  • Department of Neurosurgery, University of Zimbabwe, Harare, Zimbabwe

  • Section