Parapharyngeal space lipoma, resection under transmandibular approach

Area of Science:

• Oral and Maxillofacial Surgery
• Surgical Oncology
• Pathology

Background:

• Lipomas are rare in the craniofacial region, with salivary gland tumors like pleomorphic adenoma being more common in the maxillo-pharyngeal space.
• Benign tumors, including lipomas and pleomorphic adenomas, require effective surgical management strategies.
• The transmandibular approach is recognized for its surgical advantages in accessing the maxillo-pharyngeal region.

Observation:

• A rare case of lipoma in the craniofacial region was surgically managed.
• The transmandibular approach provided excellent surgical visibility and access to the affected anatomical structures.
• The surgical technique involved careful consideration of both anterior (prestyloid) and posterior (retrostyloid) compartments.

Findings:

• Successful surgical resection of the craniofacial lipoma was achieved.
• The transmandibular approach resulted in low patient morbidity.
• Postoperative follow-up at two years showed no evidence of tumor recurrence.

Implications:

• This case underscores the clinical, pathological, and surgical implications of managing rare craniofacial lipomas.
• The transmandibular approach is a viable and effective surgical option for these lesions.
• The findings suggest a favorable long-term prognosis and functional outcome for patients with craniofacial lipomas treated with this method.