Neurofibromatosis type 1, von recklinghausen disease: Case Report

Neurofibromatosis is an autosomal dominant genetic disorder classified as one of the most frequent neurocutaneous syndromes. Surgical interventions should be performed when the function is compromised due to the presence of tumor or for aesthetic reasons. The aim of this study was to report the clinical and radiographic aspects of Neurofibromatosis type 1 diagnoses (NF1) and therapeutic procedures. Male 10-year-old leucoderma patient sought care at the Stomatology Clinic of a University Center, reporting increase in volume in the hard palate region. After careful examination, the clinical condition observed was suggestive of NF1, confirmed by histopathological examination, obtained through incisional biopsy. Total excision of the lesion was performed under general anesthesia and use of obturator palatal plate, with the primary purpose of protecting the surgical site, providing more comfort to the patient. After 18 months of proservation, the patient's recovery was observed considering the relative comfort in face of the interventions performed and without clinical signs of injury recurrence. According to data obtained in this study, the therapeutic method of excision through total lesion enucleation was quite effective. The use of the obturator palatal plate provided substantial postoperative comfort and adequate wound healing, attenuating the possibilities of post-operative complications.