Surgical treatment for large submandibular lipoma

• Autor(a) principal: Melo , Ricardo Eugenio Varela Ayres de
• Data de Publicação: 2021
• Outros Autores: Lima, Lohana Maylane Aquino Correia de, Aguiar, Camilla Siqueira de, Melo, Rodrigo Henrique Mello Varela Ayres de, Rhoden , Deise Louise Bohn, Pinheiro, Milena Mello Varela Ayres de Melo, Souza, José Leonardo de Paiva e, Bustamante, Neme Portal, Montesinos, Juan Carlos Barrenechea, Melo, Jussara Diana Varela Ayres de, Freitas, Nely Dulce Varela de Melo Costa, Waked, Jorge Pontual, França Júnior, Arnaldo Caldas de, Seixas, Zélia de Albuquerque, Fernandes, Marcela Côrte Real, Melo, Victor Leonardo Mello Varela Ayres de, Lins, Maria Luísa Alves, Cunha Filho, Esdras Marques da, Melo Junior, Frederico Marcio Varela Ayres de, Melo, Bruna Heloísa Costa Varela Ayres de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/11488
• topic: Lipoma; Neoplasias Bucais; Procedimentos cirúrgicos operatórios.; Lipoma; Neoplasias de la Boca; Procedimientos quirúrgicos operativos.; Lipoma; Mouth Neoplasms; Surgical procedures, operative.

Lipoma is a benign tumor of mesenchymal origin with uncertain etiology. They have a predilection for men, between 50 and 70 years old and the trunk and extremities being the most common sites. Clinically, they appear as well-circumscribed lesions, mobile, soft to the touch, painless with a sessile or pedunculate base. The diagnosis is mostly clinical being confirmed through histopathological analysis and imaging exams and the treatment of choice is conservative surgical resection. The aim of this paper is to report a case of surgical treatment of an extensive lipoma in the submandibular region in a woman patient, 67 years old, who presented an increase in volume in the right submandibular region. On clinical examination, the patient presented a well-defined, mobile, soft palpation and painless lesion. An excisional biopsy was recommended. Under general anesthesia, Risdon's submandibular incision, divulsion of subcutaneous tissues and hemostasis of bleeding vessels were performed. The surgery continued with resection of the lesion, cavity toilet and continuous intradermal suture using layers. The pathological specimen was sent to the Pathology Department of the Hospital das Clínicas, Federal University of Pernambuco which showed a lesion measuring 14cm x 6.5 cm in size with obtaining confirmation of lipoma hypothesis. The case was accompanied for six years showing good aesthetic and functional results without recurrence. Therefore, even if not very frequent in the head and neck region, the Maxillofacial Surgeon needs to know the characteristics of this type of pathology, as well as the appropriate form of treatment to prevent recurrences.