PMC3502806_01
Oral examination showed a mass with nodular tissue causing severe dysphagia and respiratory distress.
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fig1
A 16-year-old male patient with documented NF1 was referred with a rapidly enlarging mass in the mouth causing severe dysphagia, mandibular and temporomandibular pain, and respiratory difficulty (Figure 1).
The preoperative examination showed a mass of the right retromolar area with a diameter of 7 x 6 x 4 cm extending deeply from the posterior ridge of the left lower alveolar process and gingivobuccal sulcus.
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 The otolaryngologic examination showed a mass of the right retromolar area with a diameter of 6 x 5 x 3 cm extending deeply from the posterior ridge of the left lower alveolar process and gingivobuccal sulcus (Figure 2).
A CT scanning showed a mass with a diameter of 5 cm infiltrating the retromolar and posterior buccal areas with an erosion the mandibular alveolar ridge.
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A CT scanning showed a relatively homogeneous mass with a diameter of 5 cm infiltrating the retromolar and posterior buccal areas with an erosion the mandibular alveolar ridge (Figure 3).
Postoperative appearance of the operative site.
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 The mass infiltrating the left retromolar area and the posterior part of the lower alveolar process was excised with wide free margins (Figure 4).