A Rare Cause of Dysphagia: Giant Lipoma in Parapharyngeal Space.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
Oct 2020
Historique:
pubmed: 17 6 2020
medline: 29 1 2021
entrez: 17 6 2020
Statut: ppublish

Résumé

Parapharyngeal area is one of the most complex areas of head and neck anatomy. Tumors of the parapharyngeal region are very rare among head and neck tumors. Lipomas also constitute a tiny proportion of parapharyngeal tumors so parapharyngeal area lipomas are very rare in the literature. Due to anatomical location, these tumors treatment is challenging. A 20-year-old male patient admitted to our department with complaints of swallowing difficulty and a mass on the right side of the neck. Magnetic resonance imaging was performed, and it was reported as a 6 × 4.5 cm lipoma. He underwent excision of parapharyngeal area lipoma by a transoral approach. Parapharyngeal lipomas are very rare, and difficult to diagnose before they turn out symptomatic. The primary treatment approach in tumors of the parapharyngeal area is surgery and the surgical approach should be chosen according to the anatomical location of the lesion.

Sections du résumé

BACKGROUND BACKGROUND
Parapharyngeal area is one of the most complex areas of head and neck anatomy. Tumors of the parapharyngeal region are very rare among head and neck tumors. Lipomas also constitute a tiny proportion of parapharyngeal tumors so parapharyngeal area lipomas are very rare in the literature. Due to anatomical location, these tumors treatment is challenging.
CLINICAL REPORT METHODS
A 20-year-old male patient admitted to our department with complaints of swallowing difficulty and a mass on the right side of the neck. Magnetic resonance imaging was performed, and it was reported as a 6 × 4.5 cm lipoma. He underwent excision of parapharyngeal area lipoma by a transoral approach.
CONCLUSION CONCLUSIONS
Parapharyngeal lipomas are very rare, and difficult to diagnose before they turn out symptomatic. The primary treatment approach in tumors of the parapharyngeal area is surgery and the surgical approach should be chosen according to the anatomical location of the lesion.

Identifiants

pubmed: 32541264
doi: 10.1097/SCS.0000000000006503
pii: 00001665-202010000-00070
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

e667-e668

Références

Aydin U, Karakoc O, Binar M, et al. Intraoral excision of a huge retropharyngeal lipoma causing dysphagia and obstructive sleep apnea. Braz J Otorhinolaryngol [published ahead of print November 17, 2016] doi: 10.1016/j.bjorl.2016.10.011.
doi: 10.1016/j.bjorl.2016.10.011
Luczak K, Dorobisz K, Krecicki T, et al. The lipomatosis of the parapharyngeal and retropharyngeal space: a case report. Srp Arh Celok Lek 2015; 143:455–457.
Garcia-Ortega DY, Gomez-Pedraza A, Luna-Ortiz K. Parapharyngeal space lipomatosis with secondary dyspnea, disphagia and disphonia. Int J Surg Case Rep 2015; 15:54–56.
Ulku CH, Uyar Y. Parapharyngeal lipoma extending to skull base: a case report and review of the literature. Skull Base 2004; 14:121–125.
Luna-Ortiz K, Navarrete-Alemán JE, Granados-García M, et al. Primary parapharyngeal space tumors in a Mexican cancer center. Otolaryngol Head Neck Surg 2005; 132:587–591.
Shoss SM, Donovan DT, Alford BR. Tumors of the parapharyngeal space. Arch Otolaryngol 1985; 111:753–757.
Scott RF, Collins MM, Wilson JA. Parapharyngeal lipoma. J Laryngol Otol 1999; 113:935–937.
Miller FR, Wanamaker JR, Lavertu P, et al. Magnetic resonance imaging and the management of parapharyngeal space tumors. Head Neck 1996; 18:67–77.
Pensak ML, Gluckman JL, Shumrick KA. Parapharyngeal space tumors: an algorithm for evaluation and management. Laryngoscope 1994; 104:1170–1173.
Smith JC, Snyderman CH, Kassam AB, et al. Giant parapharyngeal space lipoma: case report and surgical approach. Skull Base 2002; 12:215–220.

Auteurs

Mehmet Aslan (M)

Department of Otorhinolaryngology, Mardin State Hospital, Artuklu.

Ebru Ozer Ozturk (E)

Department of Otorhinolaryngology, Turgut Ozal Medical Center, Inonu University, Malatya.

Fatih Mert Dogukan (FM)

Department of Pathology, Mardin State Hospital, Artuklu, Turkey.

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