Giant buccal lipoma resected through transoral approach

Year 2015, Volume: 6 Issue: 4, 126 - 129, 09.12.2015

Eda Şimşek , Cüneyt Kucur , Ozan Kuduban Özalkan Özkan

Abstract

Lipomas are the most common benign soft tissue tumors, but they are rarely seen in the oral cavity comprising no more than 1 to 5% of all neoplasms. In the oral region, they are observed mostly in salivary glands, buccal region, floor of the mouth, tongue and lips which are generally well-defined, mobile, painless, slowly growing solitary or lobulated lesions.  Lipomas in the buccal region and in the oral cavity may cause chewing, speech, and cosmetic problems. In most of the patients, they are diagnosed in early stages and rarely reach very big dimensions. Treatment of lipoma is performed via surgical excision by cutaneous or intraoral approach. Here with, we report a case of giant lipoma which was resected through transoral route.

Key words: Soft tissue neoplasm, buccal mucosa, lipoma, oral surgical procedures

Keywords

-

Transoral yaklaşımla rezeke edilen dev bukkal lipom

Abstract

 Lipomlar en sık görülen benign yumuşak doku tümörler olmasına rağmen oral bölgede nadir görülür. Bu bölgedeki tüm neoplaziler arasındaki oran yaklaşık 1-5% kadardır. Oral bölgede en sık tükrük bezleri, bukkal bölge, ağız tabanı, dil ve dudaklarda izlenir. Genellikle yavaş ve ağrısız büyüyen, iyi sınırlı, mobil, tek veya lobüle lezyonlardır. Bukkal bölgedeki ve oral kavitedeki lipomlar çiğneme, konuşma fonksiyonlarında güçlük ve dış görünüm sorunlarına yol açtıklarından dolayı fazla büyümeden teşhis edilirler. Çok büyük boyutlara ulaşması nadirdir. Tedavisi intraoral veya kutanöz yaklaşımla cerrahi eksizyondur. Biz bu yayında bukkal bölgedeki oldukça büyük boyutlara ulaşmış ve intraoral yolla tedavi ettiğimiz bir lipom vakasını literatür ışığında sunmayı amaçladık.

Anahtar kelimeler: Yumuşak doku tümörü, bukkal mukoza, lipom, oral cerrahi prosedürler

Keywords

Yumuşak doku tümörü, bukkal mukoza, lipom, oral cerrahi prosedürler

References

• - Manor E, Vardy NS, Joshua BZ, Bodner L. Oral lipoma: analysis of 58 new cases and review of the literature. Ann Diagn Pathol 2011; 15: 257-61.
• - Fregnani ER, Pires FR, Falzoni R, et al. Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases. Int J Oral Maxillofac Surg 2003; 32: 49-53.
• - Furlong MA, Fanburg-Smith JC, Childers EL. Lipoma of the oral and maxillofacial region: site and subclassification of 125 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 441-50.
• - Yüksel Y,Erdem E,Gültekin S.E. Yanakta gelişen lipom. Türkiye Klinikleri J Dental Sci 2008; 14: 43-6.
• - Taira Y, Yasukawa K, Yamamori İ, Iino M. Oral lipoma extending superiorly from mandibular gingivobuccal fold to gingiva: a case report and analysis of 207 patients with oral lipoma in Japan. Odontology 2012; 100: 104-8.
• - Büyükakyüz N, Darwısh A, Olgaç NV. Oral lipom: olgu sunumu. İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi 2011; 45: 9-13.
• - Epivatianos A, Markopoulos AK, Papanayotou P. Benign tumors of the adipose tissue of the oral cavity: a clinicopathologic study of 13 cases. J Oral Maxillofac Surg 2000; 58: 1113-8.
• - Brucoli M, Arcuri F, Borello G, Benech A. Surgical Technique of the transoral approach to remove a lipoma of the buccal fat pad. The Journal of Craniofacial Surgery 2011; 22: 2415-8
• - Kim J W, Kang S J. Pediatric lipoma of the buccal fat pad. J Craniofac Surg 2012; 23:1934-5.
• - Gaskin CM, Helms CA. Lipomas, lipoma variants and well-differentiated liposarcomas (atypical lipomas): results of MRI evaluations of 126 consecutive fatty masses. AJR Am J Roentgenol 2002; 182: 733-9.
• - Bandeca MC, Padua JM, Nadalin MR, et al. Oral soft tissue lipomas: a case series. J Can Dent Assoc 2007; 73: 431-4.
• - Seldin HM, Seldin SD, Rakower W, et al. Lipomas of the oral cavity: report of 26 cases. J Oral Surg 1967; 25: 270-4.
• - Dereköy FS, Fidan H, Fidan F, Aktepe F, Kahveci O. Tonsillar lipoma causing difficult intubation: a case report. Kulak Burun Bogaz Ihtis Derg. 2007; 17: 329-32.
• - Wijn RS, Heijden EP, Kon M. On lipoma of the buccal fat pad: report of two cases and review of the literature. J Plast Reconstr Aesthet Surg 2009; 62: 28-35.
• - Senyuva C, Yücel A, Okur I, et al. A well-differentiated giant liposarcoma originating from the buccal fat pad. Ann Plast Chir 1996; 36: 439-43.