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[Pharyngeal lipoma]

D Hellín Meseguer1, F García Ortega, E Merino Gálvez

  • 1Department of Otorhinolaryngology, Virgen de la Arrixaca Hospital, Murcia, Spain.

Anales Otorrinolaringologicos Ibero-Americanos
|January 1, 1994
PubMed
Summary

A parapharyngeal space lipoma caused a patient's airway obstruction. Surgical removal was successfully performed, addressing this rare benign tumor.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Pathology

Background:

  • Parapharyngeal space (PPS) masses are rare, often presenting with nonspecific symptoms.
  • Lipomas, benign tumors of adipose tissue, can occur in the PPS but are uncommon.
  • Airway compromise is a critical potential complication of large PPS tumors.

Observation:

  • A 40-year-old male presented with a palpable lump in the throat.
  • The mass extended into the oropharynx and hypopharynx, causing significant airway obstruction.
  • Imaging studies suggested a fatty tumor consistent with lipoma.

Findings:

  • The diagnosis of lipoma was confirmed histopathologically after surgical excision.
  • The tumor originated in the parapharyngeal space.
  • Surgical intervention was necessary to relieve airway obstruction.

Implications:

  • This case highlights the importance of considering lipomas in the differential diagnosis of PPS masses.
  • Prompt surgical management is crucial for patients with symptomatic PPS lipomas causing airway compromise.
  • Understanding the surgical anatomy and approach is vital for successful resection of these tumors.

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