Department of General and Special Surgery, Faculty of Medicine, The Hashemite University, Zarka, Jordan.
Department of Otorhinolaryngology, Head and Neck Surgery, Prince Hamza Hospital, Amman, Jordan.
Ear Nose Throat J. 2024 Dec;103(12):NP700-NP704. doi: 10.1177/01455613221086036. Epub 2022 Mar 24.
Lipoma is the most common soft tissue benign tumor in the body. It can occur in the head and neck area as well. Fibrolipoma is a variant of lipoma that contains fibrous tissue. Fibrolipomas of the head and neck are relatively rare, and their presentation depends largely on their size and location; some slowly growing tumors might go unnoticed until they reach significant size and become symptomatic. Here, we report a case of 64-year-old male who presented with large pedunculated oropharyngeal fibrolipoma that originated from the posterior oropharyngeal wall and extended downward into the postcricoid area and cervical esophagus. It was excised transorally using rigid endoscope, and ACE Harmonic scalpel was utilized to excise this 16.7 cm long mass. The postoperative pain was minimal, the surgical site showed complete healing, and oral diet was resumed easily in 5 days.
脂肪瘤是人体最常见的软组织良性肿瘤。它也可能发生在头部和颈部。纤维脂肪瘤是脂肪瘤的一种变体，含有纤维组织。头颈部纤维脂肪瘤相对少见，其表现主要取决于其大小和位置；一些生长缓慢的肿瘤可能在长到很大并出现症状之前没有被注意到。在这里，我们报告了一例 64 岁男性患者，他患有大型带蒂的口咽纤维脂肪瘤，起源于口咽后壁，向下延伸至环后区和颈段食管。使用硬性内窥镜经口切除，并用 ACE Harmonic 手术刀切除这个 16.7 厘米长的肿块。术后疼痛轻微，手术部位完全愈合，术后 5 天即可轻松恢复经口饮食。
