PMC4357079_01
Preoperative
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F1
The swelling measured about 6 cm x 4 cm [Figure 1].
Computed tomography scan of the lesion
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F2
Based on the above findings, the lesion was provisionally diagnosed as lipoma in the retromandibular region [Figure 2].
Incision
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F3
A Risdon's incision extending up to the retromandibular region [Figure 3] was placed and a subplatysmal dissection was performed to approach the mass.
Intra-operative, lesion exposed in the neck
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F4
Hence, careful dissection was performed to separate it from the vessel to prevent any injury to the same [Figure 4].
Excised lesion
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F5
The excised mass [Figure 5] was soft, yellow, smooth, shiny and ovoid, measuring about 5 cm x 4 cm, which was sent for histopathological examination.
Histopathology
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F6
The biopsy report revealed lobular growth of large mature fat cells with clear cytoplasm and thin strands of connective tissue, scanty inflammatory cells and few blood vessels [Figure 6].
Post-operative
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F7
Postoperatively, symmetry of the face could be appreciated [Figure 7] without any facial nerve palsy and other complications.