PMC8407630_01
Preoperative right lateral view and worm's eye view
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F1
A 52-year-old male patient reported to the department of oral and maxillofacial surgery in view of a persistent diffuse swelling in the right lower face and neck region for 5-6 years [Figure 1].
Computed tomography sagittal view
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F2
Plain computed tomogram and contrast-enhanced computed tomogram of the neck study gave an impression of moderate to large-sized well-defined multiple septate lipomas measuring 11.5 cm x 10.5 cm x 6.5 cm involving submandibular region and anterior triangle of the right neck [Figure 2 and 3].
Computed tomography axial view
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F3
Plain computed tomogram and contrast-enhanced computed tomogram of the neck study gave an impression of moderate to large-sized well-defined multiple septate lipomas measuring 11.5 cm x 10.5 cm x 6.5 cm involving submandibular region and anterior triangle of the right neck [Figure 2 and 3].
Shelling out of multilobular lipoma
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F4
Complete surgical excision was planned which was carried out extraorally through submandibular approach [Figure 4].
Pathology specimen
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F5
The excised mass measured 120 mm x 95 mm x 40 mm and weighed 104.70 g; more than 10 lobules were present [Figure 5].
Histopathological examination shows mature fat cells
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F6
The tissue when immersed in a jar filled with formalin was found to be floating - confirming its fatty nature, which was also confirmed by histopathological examination [Figure 6].
Postoperative right lateral view and worm's eye view
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F7
The patient had an uneventful recovery and minimal scar with restored esthetics [Figure 7].