Abstract
BackgroundThe 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 ReportA 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.DiscussionThe 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.ConclusionsThe 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. Key words:Buccal space lipoma, oral cavity, buccal space, bilateral, buccal fat pad lipoma.
Highlights
The lipoma is a benign mesenchymal neoplasm composed of mature adipocytes and usually surrounded by a fibrous capsule [1]
The buccal fat pad is located within the compartment of the buccal space [2]
In the literature there are very few reports of lipomas attached to the buccal fad pad and, to the best of our knowledge, there is no other reported bilateral buccal fat pad
Summary
The lipoma is a benign mesenchymal neoplasm composed of mature adipocytes and usually surrounded by a fibrous capsule [1]. The most common locations of lipoma in the oral cavity are the buccal mucosa, the tongue, the floor of the mouth, the vestibular area, the lower lip, the hard and soft palate and rarely the region of buccal fat pad [4]. Imaging with MRI scan showed two round-shaped, finely encapsulated masses of adipose tissue connected to the buccal fat pad (Fig. 1B). These MRI findings, in combination with the clinical examination, match the description of the buccal fat pad lipoma. The lipoma was carefully detached from the surrounding tissues and was removed, including the well-attached larger front part of the buccal fat pad Histological examination of the removed masses confirmed the typical image of common lipoma
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
