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Giant Lipoma Involving the Face in a Child: A Rare Case Report
T N Janakiram1, Soumya Sampath1, Mansi A R Venkatramanan1
1Royal Pearl Hospital, Tiruchirapalli, Tamilnadu India.
Summary
Recurrent pediatric head and neck lipomas are rare. This case highlights the successful surgical excision of a large, recurring facial lipoma in a 15-month-old child using a facelift approach.
Area of Science:
- Pediatric Surgery
- Dermatologic Oncology
- Head and Neck Surgery
Background:
- Lipomas, benign adipose tissue tumors, are uncommon in children, especially in the head and neck.
- Recurrence of pediatric head and neck lipomas can occur, posing surgical challenges.
Purpose of the Study:
- To describe a rare case of a recurrent pediatric facial lipoma.
- To detail the diagnostic workup and surgical management of this challenging condition.
- To emphasize the utility of a facelift approach for optimal cosmetic and functional outcomes in pediatric facial tumor excision.
Main Methods:
- Case report of a 15-month-old male with a recurrent facial swelling.
- Diagnostic imaging including Magnetic Resonance Imaging (MRI) and Fine Needle Aspiration Cytology (FNAC).
- Surgical excision utilizing a facelift approach for scar concealment and facial nerve protection.
Main Results:
- Histopathological confirmation of lipoma.
- Successful complete tumor extirpation with no immediate complications.
- The facelift approach facilitated scar camouflage and preserved facial nerve function.
Conclusions:
- Recurrent facial lipomas in infants require careful diagnostic evaluation and surgical planning.
- A facelift approach can be a safe and effective technique for managing pediatric facial lipomas, ensuring excellent cosmetic results.
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