[Characteristics of the formation of fat deposits in circumscribed lipomatosis of the neck and variants of surgical approaches to them].

During 15 years operations for circular lipomatosis of the neck (Madelung syndrome) were performed to 73 patients. Three variants of incisions (accesses) for removal of the fat accumulation from anterior areas of the neck are developed and described: 1) auriculo-mastoido-hypoglossal; 2) supraclaviculo-sternal; 3) cleidosternal The occipito-suprascapular incision is proposed for removal of fat accumulations from posterior areas of the neck.