双侧颊间隙脂肪瘤：一例罕见病例报告。
Bilateral buccal space lipoma: A rare case presentation.
作者信息
Goutzanis Lampros, Chliaoutakis Agamemnon, Kalyvas Demos
机构信息
Assistant Professor. Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, Greece.
Post graduate Student. Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, Greece.
出版信息
J Clin Exp Dent. 2019 Jun 1;11(6):e558-e560. doi: 10.4317/jced.55568. eCollection 2019 Jun.
BACKGROUND
The lipoma of the oral cavity is a relatively rare pathology, characterized by overgrowth of the mature adipocytes. Buccal fat pad lipomas usually interfere with the esthetics and the function of the face.
CASE REPORT
A sixteen-year-old patient reported slow-growing swelling, which started two years ago. Clinical examination revealed two bilateral masses in the soft tissue. MRI imaging revealed a characteristic image of bilateral lipomas connected to the buccal fat pad. Surgical removal was conducted and the histology report confirmed our clinical diagnosis of common lipoma.
DISCUSSION
The lipoma of the buccal fat pad is a benign neoplasm of the adipose tissue. It should be removed when functional or esthetic problems occur and emphasis should be put on the correct surgical technique.
CONCLUSIONS
The bilateral buccal fat pad lipoma is an extremely rare condition of the oral cavity. Surgical removal with intraoral approach is the preferable treatment, together with intense care of the anatomical structures of the buccal space. Buccal space lipoma, oral cavity, buccal space, bilateral, buccal fat pad lipoma.
背景
口腔脂肪瘤是一种相对罕见的病理情况，其特征为成熟脂肪细胞过度增生。颊脂垫脂肪瘤通常会影响面部美观和功能。
病例报告
一名16岁患者报告称，两年前开始出现生长缓慢的肿胀。临床检查发现软组织中有两个双侧肿块。MRI成像显示双侧脂肪瘤与颊脂垫相连的典型图像。进行了手术切除，组织学报告证实了我们对普通脂肪瘤的临床诊断。
讨论
颊脂垫脂肪瘤是一种脂肪组织的良性肿瘤。当出现功能或美观问题时应予以切除，并且应注重正确的手术技术。
结论
双侧颊脂垫脂肪瘤是口腔极为罕见的情况。采用口内入路进行手术切除是首选治疗方法，同时要密切关注颊间隙的解剖结构。颊间隙脂肪瘤、口腔、颊间隙、双侧、颊脂垫脂肪瘤
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