Case Report: A Giant Lipoma from the Buccal Fat Pad Resembling Two Different Masses
10.21593/kjhno/2020.36.2.69
- Author:
Taewoon KIM
1
;
Sang Wha KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Seoul National University Hospital
- Publication Type:Case Report
- From:
Korean Journal of Head and Neck Oncology
2020;36(2):69-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a surgically challenging case of a large lipoma located from the temple, across the zygomatic region to the buccal area, resembling two different masses.An 82-year-old man presented with two persistently growing soft masses at his left temple and cheek. A computed tomographic scan revealed a single large radiolucent mass extending from the submuscular layer of the left temple crossing beneath the zygomatic arch to the buccal region, rather than two individual masses. Excision was performed through upper gingivobuccal and temporal incisions. The mass was dissected through both incisions, cut in half, and extracted from both sides.No complications were observed. The biopsy result was consistent with a lipoma. Four months later, the scars were inconspicuous, and the patient was satisfied.Considering the size, shape, and location, this is a rare and intriguing case. The bi-directional approach allowed for successful total excision without any complications, leaving inconspicuous scars.
