Abstract
Parapharyngeal lipoma with skull base extension is rare tumor found in head and neck region. We report a case of 66 years old female patient with left side face swelling extending to neck. On clinical examination, it was found soft, non-tender, mobile swelling present over left side pre-auricular region. It was extending from pretragal area superiorly to left submandibular region inferiorly. CECT neck and fine needle aspiration cytology was done to know the benign nature of disease. It suggest tumor extending from skull base to C6 vertebral level in parapharyngeal space. Tumor was excised via Trans parotid-transcervical approach. Parapharyngeal lipomas are confined to either the prestyloid or post styloid compartments. We report an unusual parapharyngeal lipoma involving both the compartments of the parapharyngeal space.
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References
Warner L, Jennings C, Watkinson J Surgical anatomy of the neck (ch-35), Scott-Brown’s Otorhinolaryngology, Head & Neck surgery; Eighth Edition, Volume 3, page 550
Abdullah BJJ, Liam CK, Kaur H, Mathew KM (1997) Parapharyngeal space lipoma causing sleep apnea. Br J Radiol 70:1063–1065
Pal P, Singh B, Sood AS (2015) Unusual Parapharyngeal Lipoma. Indian J Otolaryngol Head Neck Surg 67(Suppl 1):S158–S160
Ulku CH, Uyar Y (2004) Parapharyngeal lipoma extending to skull base: a case report and review of the literature. Skull Base 12:121–125
Smith JC, Snyderman CH, Kassam AB (2002) Giant parapharyngeal space lipoma: case report and surgical approach. Skull Base 12:215–220
Singh PP, Sharma A, Gupta N (2004) Parapharyngeal space lipoma. Indian J Otolaryngol Head Neck Surg, Vol 56, No 2
Brennan PA, Smith GI, Webb AA, Ilankovan V (2004) Double mandibular osteotomy with coronoidectomy for tumours in the parapharyngeal space. Br J Oral Maxillofac Surg 42:79–80
Krespi YP, Sisson GA 1984 Transmandibular exposure of the skull base. Am J Surg 148:534–538
Smith J, Snyderman C (2002) Giant parapharyngeal space lipoma: case report and surgical approach. Skull Base Interdiscip Approach 12(4):215–220
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Vasani, A., Shah, R. & Hirapara, K. Parapharyngeal Lipoma Extending to Skull Base: A Case Report with Surgical Approaches. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04488-z
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DOI: https://doi.org/10.1007/s12070-024-04488-z