The Columbus Dispatch

Surgery to remove boy’s facial tumor

- Cleve R. Wootson Jr.

Noel Zayas paraded his son to a never-ending carousel of Cuban doctors, but none of them would touch the boy.

Emanuel Zayas’ basketball-size facial tumor was too complex, they told his family; the surgery to remove it was too risky.

“I knocked on a lot of hospital doors,” Zayas told the Miami Herald. “To see our son deforming, and all we can do is watch, it’s not easy.”

Emanuel, a 14-year-old ninth-grader, has a disorder called polyostoti­c fibrous dysplasia, in which the body replaces parts of bones with fibrous tissues, according to the Mayo Clinic.

The condition began affecting Emanuel’s left arm and leg when he was 4, but it became life-threatenin­g in adolescenc­e, according to The Associated Press.

At age 11, the boy noticed what he thought was a pimple growing on the side of his nose. However, it wouldn’t stop growing. Now it weighs 10 pounds and is the size of his head.

“The tumor has taken over his face and has severely affected the bone structure of his upper jaw and nose,” according to the Jackson Health Foundation, a nonprofit that raises money for cases such as Emanuel’s.

By the time he was 14, Emanuel could breathe only through his mouth and was “extremely malnourish­ed.” His eyes work fine, but his vision is obstructed by the growth on his face.

The giant tumor is benign: Its cells will never spread to other parts of his body. But the tumor, if left untreated, will eventually kill Emanuel. As it grows, it begins to crush his windpipe, slowly suffocatin­g the teen. Doctors fear it could snap his neck.

Hope came in the form of an American missionary who had met the boy in Cuba and sought to connect him with Dr. Robert Marx, chief of oral and maxillofac­ial surgery for the University of Miami Health System, according to the Herald.

Marx had originally heard about Emanuel’s case at a medical conference. He was one of the few people who could identify it on sight, according to the Herald, because he had operated on a Haitian woman with a 16-pound facial tumor a decade ago.

And in 2008, during a marathon 14-hour surgery, Marx removed a facial growth that started out as a cyst on a Vietnamese girl’s face. It grew into a tumor that consumed the lower half of her face and accounted for a fifth of her body weight, according to ABC News.

Now, Marx and other doctors are volunteeri­ng their expertise and time, and other benefactor­s are trying to raise the more than $200,000 that it would cost to complete the surgery.

Three weeks ago, they flew Emanuel and his family to Miami. The surgery is scheduled for Jan. 12.

But their altruism by no means guarantees success.

The surgery will take a team of four surgeons half a day. They’ll have to remove the tumor, but also preserve Emanuel’s blood flow — all while reconstruc­ting his nose so he can breathe again.

And they have to ensure that they get the entire tumor, or it will grow back.

After the initial surgery, the boy will need other procedures to reconstruc­t his jaw and cheek, and to implant prosthetic teeth.

If it goes according to plan, his parents hope that in addition to being able to breathe, their son’s life will return to normal.

He had soldiered on despite his condition, making friends and attending public school. From a distance, the only sign that something was amiss were the crutches that he used to walk.

But when the tumor grew, his parents pulled him out of school. The cane was replaced with a wheelchair, and his friends were replaced with isolation.

“He likes socializin­g,” said his mother, Vizaino Zayas. “He has always been very connected to his community.”

A husband and wife have been shot dead in their Virginia home by a 17-year-old boy they had warned their daughter not to date because of his racist views, according to officials and news accounts.

The teenager shot Scott Fricker, 48, and his wife, Buckley Kuhn-Fricker, 43, before dawn Friday before shooting himself, the police said.

The couple, who lived in the Washington suburb of Reston, were pronounced dead at the scene.

The teenager survived and was hospitaliz­ed in “lifethreat­ening condition,” the Fairfax County Police Department said.

Reem Awad, a police spokeswoma­n, said the juvenile defendant, who is from Lorton, Virginia, is charged with two counts of murder.

Family members recently tried to persuade Kuhn-Fricker’s 16-year-old daughter to stop seeing the teen because they worried he was sharing white-supremacis­t ideas with her, Janet Kuhn, KuhnFricke­r’s mother, told The Washington Post.

A few days before her death, Kuhn-Fricker emailed her daughter’s high school and. calling the boy “a monster,” attached images of social-media posts she attributed to him that included anti-Semitic and homophobic content and that referenced Hitler, Nazi book burnings and white supremacy, The Post reported.

 ?? [C.M. GUERRERO/MIAMI HERALD] ?? Dr. Robert Marx, chief of oral and maxillofac­ial surgery for the University of Miami Health System, speaks at a press conference Friday with 14-year-old Emanuel Zayas, who is flanked by his parents, Noel and Vizaino Zayas.
[C.M. GUERRERO/MIAMI HERALD] Dr. Robert Marx, chief of oral and maxillofac­ial surgery for the University of Miami Health System, speaks at a press conference Friday with 14-year-old Emanuel Zayas, who is flanked by his parents, Noel and Vizaino Zayas.
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