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Modified trident technique for surgical approach to facial lipoma
Nancy Trujillo-García1, Irma Y Castillo-López2, Carmen A Carrillo-López1
1Departamento de Cirugía Maxilofacial, Hospital General Regional 46, Instituto Mexicano del Seguro Social (IMSS).
Introduction:
Lipomas are the most common tumors of mesenchymal origin throughout the body. Although they have low incidence in the oral cavity, they surgical approach can be challenging.
Case Report:
10-year-old male with a giant lipoma in the buccal and masticator space, an intraoral surgical approach was chosen using by modifying trident technique of Ramírez-Oropeza.
Discussion:
The main advantages and limitations of this intraoral approach are examined.
Conclusions:
An intraoral approach was selected because of less possibility of injuring the facial nerve, better esthetic results and less invasive, obtaining excellent results.

