Abstract
Facial congenital infiltrating lipomatosis is a rare subtype of hemifacial hyperplasia. Abnormal growth of one side of the face occurs in all tissues of the affected area, particularly adipose tissue. Diagnosis is by exclusion, as the etiology of this condition is unknown. However, some factors associated with it include heredity, chromosomal and neural abnormalities, atypical twinning forms, altered intrauterine environment, endocrine and anatomical dysfunction, functional abnormalities of the vascular and lymphatic systems, and central nervous system disorders. Herein, we report a 15-year-old girl who sought treatment in the Hospital Heliópolis of São Paulo for congenital facial swelling that partially regressed over time. Extraoral examination revealed facial asymmetry with normal color, soft consistency, and non-pulsatile swelling in the left mandibular region. Intraoral examination showed a slight erythematous tongue and soft palate on the left side. Magnetic resonance imaging showed thickening and signal heterogeneity in the fat planes of the left perimandibular and perimaxillary regions, with thread-like vascular structures in between. Magnetic resonance angiography revealed an increase in the left submandibular and parotid glands. Based on her medical history, physical examination results, and imaging studies, the patient was diagnosed with congenital lipomatosis of the face.
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 callMore From: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
