Direct Ultrasonic Aspiration for Orbito-Temporal Neurofibromas.

Ultrasonic surgical devices are powerful new tools that can debulk soft tissue tumors with little damage to surrounding blood vessels and nerve fibers. We used such a device to remove orbito-temporal neurofibromas, which are usually associated with a rich network of vessels and nerves. Three patients with masses in the upper and lower eyelids and the temporal area of the face were included in this study. The masses were debulked safely using an ultrasonic aspirator, resulting in satisfactory functional and cosmetic outcomes.