blunt dissection through a small hole (Fig. 1B). No evidence of recurrence or late complications was observed over 1 year. For schwannoma, excision is the treatment of choice and provides more complete removal of the tumor mass than any other treatment modality; however, large cosmetically unacceptable scars may result, with the possibility of a large amount of blood loss during surgical excision if the tumor mass is large and deeply located. The tumescent suction technique is a popular liposuction method using local anesthesia with direct infiltration of diluted anesthetic solution. It does not require general anesthesia and minimizes blood loss. In the tumescent suction technique, target tissues become swollen with a large amount of fluid (diluted anesthetic solution). Despite tissue swelling by local anesthesia, safety is guaranteed by the dilution effect. The tumescent suction technique has been applied in numerous dermatologic fields, including hair transplantation, laser skin resurfacing, and dermabrasion. It is a relatively safe and simple surgical technique with rapid wound healing. Although it has not been studied in detail for benign tumor removal, it may be applied to various tumors, including simple lipoma and well-encapsulated cutaneous schwannoma. To our knowledge, this is the first report of the application of the tumescent suction technique to treat schwannoma.
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