Lipoma on superficial lobe of the parotid gland: case report.
10.5125/jkaoms.2010.36.5.438
- Author:
Jung Han KIM
1
;
Chul Hoon KIM
;
Min Gu KIM
;
Jin Woo SONG
;
Eu Gene JUNG
;
Bok Joo KIM
Author Information
1. Department of Oral and Maxillofacial Surgery, Department of Dentistry, Dong-A University Medical Center, Busan, Korea. samehope@naver.com
- Publication Type:Case Report
- Keywords:
Lipoma;
Neoplasm;
Parotid gland
- MeSH:
Abdomen;
Adipose Tissue;
Head;
Incidence;
Lipoma;
Neck;
Parotid Gland;
Shoulder
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2010;36(5):438-440
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A lipoma is a benign tumor of matured adipose tissue that usually occurs at the shoulder, back, and abdomen. 13% of lipomas occur in the head and neck area. However, the incidence of lipoma in the parotid gland is very low, approximately 2.5%. A conservational surgical excision is recommended in cases of lipoma of the parotid gland, with only 1-2% of lipomas recurring. We report a case of a lipoma in the parotid gland that was removed by conservational surgical excision. The lesion was exposed by the pre-auricular approach and the tissue was detached. After the parotid gland envelop was exposed, a yellowish mass is observed that was easy to remove due to capsulation. Most authors recommend a surgical excision of the superficial lobe of the parotid gland as the treatment for a lipoma in the parotid gland. However, enucleation only may be a sufficient treatment when a lipoma occurs in the superficial lobe or around the parotid gland. A patidectomy is not needed when a lipoma is located at the superficial lobe of the parotid gland, and a conservational surgical excision is suitable. Therefore, a clinical diagnosis is important for reducing the damage to the facial nerve.