International Journal of Surgery & Surgical Techniques (IJSST)

ISSN: 2578-482X

Case Report

Surgical Treatment Tumors Giant Size of the Submandibular Area

Authors: Khasanov AI*

DOI: 10.23880/ijsst-16000197

Abstract

Lipomas of the submandibular space are relatively rare. The prevalence is 1% of all lipomas in the body. A lipoma may contain elements other than blood vessels of adipose tissue, muscle fibers, fibroconnective tissue, and bone tissue. Fibrolipomas of the submandibular zone are rare and account for approximately 3-4% of all head and neck tumors. With large tumors of the submandibular region, facial deformation appears. The larger the tumor, the greater the deformation of the face and neck. This report describes a case of a giant fibrolipoma in the submandibular space. We present a case of a 50-year-old man with a tumor of the right submandibular zone. The tumor appeared 8 years ago and the patient was not treated. The tumor had a locally widespread form and spread to the paropharyngeal area. Due to the difficulty of administering incubation anesthesia and taking into account possible postoperative complications, the patient underwent a tracheotomy under local anesthesia at the first stage and a radical removal of a giant tumor was performed at the second stage. Postoperative histology - Fibrolipoma. In this case, due to the large size of the tumor, in addition to deformation of the face and neck, the patient had impaired functions of swallowing food, difficulty breathing and speaking. In the postoperative period, a satisfactory aesthetic and functional result was achieved. Postoperative wound healing was primary; there were no complications.

Keywords: Submandibular Region; Surgical Treatment; Giant Fibrolipoma

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