Maxillofacial Plastic and Reconstructive Surgery

  • Volume 42
  • /
  • Pages.38.1-38.7
  • /
  • 2020
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Treatment of intramuscular lipoma of tongue with enveloped mucosal flap design: a case report and review of the literature

  • Hur, Sung-Hwi (Department of Oral & Maxillofacial Surgery, Hankook General Hospital) ;
  • Lim, Jae-Seok (Department of Oral & Maxillofacial Surgery, Chungbuk National University Hospital) ;
  • Choi, Sun-Gyu (Department of Oral & Maxillofacial Surgery, Hankook General Hospital) ;
  • Kang, Ji-Yeon (Department of Oral & Maxillofacial Surgery, College of Medicine, Chungnam National University) ;
  • Jung, Ji-Hye (Department of Oral & Maxillofacial Surgery, Hankook General Hospital) ;
  • Lee, Eun-Young (Department of Oral & Maxillofacial Surgery, Chungbuk National University Hospital)
  • Received : 2020.10.01
  • Accepted : 2020.10.13
  • Published : 2020.12.31
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Abstract

Background: Lipomas are benign soft tissue neoplasms of mature adipose tissue commonly occurring in the trunk or extremities. But, intraoral lipomas are rare entities which may be only noticed during routine dental examinations. Especially intramuscular lipomas on the tongue have been reported very rarely. In this study, we report a case of intramuscular lipoma on tongue, with a review of the literature from 1978 to 2019, providing data on age, gender, location, presenting symptoms, size, surgical methods, and recurrence. Case presentation: A case of intramuscular lipoma occurring in tongue region in a 65-year-old male is reported. Surgical excision is the mainstay of treatment for the lesion. In order to decrease the deformity and discomfort after the excision, we tried to modify surgical technique using enveloped mucosal flap. This technique provided more comfortable healing procedure on the operative site without recurrence. Conclusion: This is a rare case of large intramuscular lipoma on tongue. Surgical excision with enveloped mucosal flap design was performed to diminish postoperative raw surface and discomfort and a 24-month follow-up showed excellent healing without any recurrence. A case of intramuscular lipoma on tongue and relevant literature reviews are presented in this study.

Keywords

Acknowledgement

This work was supported by the research grant of the Chungbuk National University Hospital in 2020.

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