Conclusion
This study has highlighted the need to recognise head and neck NF especially the peri-ocular variant. Peri-ocular NF is likely to be admitted under the ENT team especially in the paediatric population. Extension of peri-orbital erythema to the contralateral peri-orbital side should raise the possibility of peri-ocular NF.
The need to act quickly and decisively is extremely important to reduce the burden of surgical interventions, the need for subsequent reconstructive surgery and the long-term psychosocial impacts to patients. This is the first published literature looking at peri-ocular NF in the UK from an otolaryngology view point.