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Multiple Symmetric Lipomatosis: Lipectomy for Madelung Collar
Nguyen Quang Duc1,2,3,4,5, Vu Ngoc Lam1,2,3,4,5, Le Thi Thu Hai1,2,3,4,5
1Nguyen Quang Duc, PhD, MD, is Deputy Director, The Center for Craniofacial and Plastic Surgery, The 108 Military Central Hospital, Hanoi, Vietnam.
Plastic and Aesthetic Nursing
|November 30, 2022
Summary
Multiple symmetric lipomatosis (MSL), a rare condition linked to alcohol abuse, was treated in eight men. A two-stage surgical protocol yielded satisfactory functional and aesthetic outcomes, with one recurrence.
Area of Science:
- Plastic Surgery
- Metabolic Disorders
- Surgical Oncology
Background:
- Multiple symmetric lipomatosis (MSL) is a rare, benign adipose tissue proliferation.
- MSL is frequently associated with metabolic dysregulation and chronic alcoholism.
- Madelung collar, a characteristic feature of MSL, presents significant cosmetic and functional challenges.
Purpose of the Study:
- To report the clinical outcomes and surgical protocol for patients with MSL and Madelung collar.
- To evaluate the efficacy and safety of a two-stage surgical approach for MSL.
- To analyze patient satisfaction and postoperative indicators following surgical intervention.
Main Methods:
- Eight male patients with MSL and Madelung collar were treated between May 2018 and December 2020.
- A two-stage surgical protocol involving supine and prone positions with tumescent solution injection was employed.
- Preoperative, intraoperative, and postoperative data, including imaging and patient-reported outcomes, were collected and analyzed.
Main Results:
- All patients had a history of alcohol abuse and associated comorbidities.
- No tracheotomies or blood transfusions were required during surgery.
- Postoperative follow-up (6-27 months) showed high patient satisfaction with functional and aesthetic results.
- One patient experienced a recurrence of MSL.
Conclusions:
- The described two-stage surgical protocol is effective for managing MSL and Madelung collar.
- The protocol offers optimal functional and aesthetic outcomes with minimal complications.
- Early surgical intervention can significantly improve the quality of life for MSL patients.
