Topalo V M
Khirurgiia (Mosk). 1992 Mar(3):26-32.
Eighty-eight males with benign symmetrical lipomatosis (BSL) were subjected to complex examination, 68 of them were operated on. BSL is a slowly progressing disease marked by the development of nonencapsulated symmetrical fatty masses mainly in the region of the neck. It usually occurs in males at the age of 35-50 years. Chronic alcoholic intoxication was found in 46 (48%) patients, 36 (41%) patients had various functional disorders which caused invalidation in 5 (5.7%) cases. A familial character of the disease was revealed in four (4.5%) cases. A classification of the disease is suggested which takes into account the functional disorders and the degree of development of the lipomatous masses in the neck. The author discusses the stages of the treatment, the surgical anatomy, a method for revealing the salivary glands in the lipomatous tissue by staining them with methylene blue solution, the operative techniques, the complications and their prevention, and the late results of surgical treatment. Satisfactory esthetic and functional results were achieved in 94.2% of patients who were operated on.
88例患有良性对称性脂肪瘤病（BSL）的男性接受了综合检查，其中68例接受了手术。BSL是一种进展缓慢的疾病，其特征是主要在颈部区域出现非包膜性对称脂肪团块。它通常发生在35至50岁的男性身上。46例（48%）患者存在慢性酒精中毒，36例（41%）患者有各种功能障碍，其中5例（5.7%）导致残疾。4例（4.5%）病例显示出该病的家族性特征。提出了一种考虑到功能障碍和颈部脂肪瘤块发育程度的疾病分类方法。作者讨论了治疗阶段、手术解剖、用亚甲蓝溶液染色在脂肪瘤组织中显露唾液腺的方法、手术技术、并发症及其预防以及手术治疗的远期效果。94.2%接受手术的患者获得了满意的美学和功能效果。
