Challenges of Neurofibroma Excision
Whether Type 1 or Type 2, neurofibromatosis produces complex tumors with specific abilities to induce changes to surrounding tissues and cause extensive bleeding. Therefore, simple excision to remove neurofibromas is frequently met with complications. It is important to note that neurofibromas do not behave as other soft tissue tumors.
Their occurrence and growth is related to the release of specific hormones that can impact surrounding tissues and cellular processes. These hormones are known to soften fat and skin and lead to stretching of ligaments. This can cause drooping of tissues in areas involved with tumor, creating significant deformities. More concerning, hormones released by neurofibromas can result in the interruption of normal clotting, which can lead to extensive blood loss during surgery.
Dr. Panossian’s Approach
Dr. Panossian’s experience in the removal of both simple and complex neurofibromas has led to the development of a careful and methodical surgical approach. Key factors include monitoring blood loss closely throughout surgery and employing various clotting agents to avoid excessive bleeding. In addition, drains are used occasionally for large excisions. Other surgical maneuvers are also necessary to avoid hematoma formation and infections. Dr. Panossian also knows when to vary the pace of surgery, something most surgeons neglect, in order to avoid these complications.
Reconstruction of Tissues during Surgical Excision
In addition, Dr. Panossian recognizes the deforming effects of neurofibromas on surrounding tissues. Fixing the deformities created requires an expert understanding of plastic surgery and reconstructive principles involving virtually every part of the human anatomy. Concepts of hiding incisions, cutting along natural wrinkle lines, and avoiding vital nerve structures are some of the most complex considerations necessary for a successful outcome. Dr. Panossian understands human anatomy with high precision and is a peripheral nerve expert, making him the ideal person to treat patients with neurofibromatosis.
Every treatment plan is individualized. Every aspect of the surgery is rehearsed ahead of time. Complications and bleeding are anticipated and handled to avoid excessive blood loss. Make sure the surgeon you choose has a deep understanding of these factors and the confidence to help deliver the very best results. Make an appointment with Dr. Panossian today to go over your options.
Why choose Dr Panossian
- He received his medical education at Tufts University School of Medicine.
- Graduated at the top of his class at UCLA, receiving Phi Beta Kappa and Summa Cum Laude honors.
- Was accepted into an elite combined general surgery and plastic surgery residency at the Keck School of Medicine of USC.
- Completed subspecialty training in craniofacial surgery at the Hospital for Sick Children in Toronto and Harvard Medical School.
- Was mentored by Dr. Ron Zuker in the practice of facial paralysis reconstruction. This prestigious fellowship position was available to only one surgeon in the United States.
- Is affiliated with various charitable and educational organizations, including Operation Smile and Mending Kids.
- Is a member of the American Society of Plastic Surgeons and the highly selective American Association of Plastic Surgeons, reserved for only a select group of individuals nationally who have demonstrated excellence in academic plastic surgery.
- Holds memberships in several other professional societies including the American College of Surgeons and the American Society of Reconstructive Microsurgery.
- He serves on the Board of Directors for Mending Kids and the Gondobay Manga Foundation, a non-profit organization dedicated to the improvement of lives in Sierra Leone.
- Has been nominated by his peers annually since 2012 as a “Super Doctor.”
- Served as an expert medical consultant and appeared on The Doctors, Grey’s Anatomy, and Nip/Tuck.
- Has been featured as “Top Doctor” in US News and World Report, Pasadena Magazine, and Los Angeles Magazine.
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Last modified by Dr. Andre Panossian
