Department of Otolaryngology and Head and Neck Surgery, Xerencia de Xestión Integrada A Coruña (XXIAC), A Coruña, Spain.
Department of Otolaryngology and Head and Neck Surgery, Xerencia de Xestión Integrada A Coruña (XXIAC), A Coruña, Spain.
J Stomatol Oral Maxillofac Surg. 2018 Apr;119(2):148-150. doi: 10.1016/j.jormas.2017.11.006. Epub 2017 Nov 10.
Benign symmetrical lipomatosis (BSL) is a rare disorder characterized by diffuse, multiple, symmetric and non-encapsulated fat masses generally localized in the face, neck and upper trunk. An uncommon case of lingual affliction in BSL, presented with macroglossia, sleep apnea, dysphagia and dysartria is described. Bilateral partial glossectomy was performed, with an improvement in initial symptoms one year after surgery. Only seven other BSL cases with lingual involvement have been reported in the literature. This case report and literature review highlights that BSL with lingual affliction is extremely rare, almost exclusive for BSL Type I and affects predominantly middle-aged males from Mediterranean countries. Surgical treatment with unilateral or bilateral partial glossectomy usually restores normal tongue function, but most be accompanied with a postoperative follow up to assure that recurrence does not occur.
良性对称性脂肪增多症（BSL）是一种罕见的疾病，其特征为弥漫性、多发性、对称性和非包裹性脂肪肿块，通常位于面部、颈部和上躯干。本文描述了一例 BSL 中罕见的舌受累病例，表现为巨舌症、睡眠呼吸暂停、吞咽困难和构音障碍。行双侧部分舌切除术，术后 1 年初始症状改善。文献中仅报道了其他 7 例 BSL 合并舌受累的病例。本病例报告和文献复习表明，BSL 合并舌受累极为罕见，几乎仅限于 BSL 型 I，主要影响来自地中海国家的中年男性。手术治疗采用单侧或双侧部分舌切除术通常可恢复正常舌功能，但大多数需要术后随访以确保不复发。
