Endolaryngeal laser excision of a giant hypopharyngeal lipoma causing severe respiratory distress: Case report Ciddi hava yolu tıkanıklıǧına sebep olan ve endolarengeal lazer eksizyonu ile tedavi edilen dev hipofarengeal lipom


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Gerek M., Erol U., Hidir Y., BIrkent H.

Turkiye Klinikleri Journal of Medical Sciences, cilt.33, sa.2, ss.596-599, 2013 (Scopus) identifier

Özet

Lipomas are the most common benign tumors of mesenchymal origin. Although they are rarely seen in the head and neck region, their most common location in the head-neck are the posterior neck. Lipomas of larynx and hypopharynx are very rare. The aim of this paper is to report a case of a giant hypopharyngeal lipoma causing severe respiratory distress. A 76-year-old man with respiratory distress, stridor and voice changes present for 5 months was referred to our department. Videolaryngoscopic examination revealed a pedicled left piriform sinus mass with smooth and yellowish surface which was obstructing the laryngeal inlet during respiration. It was removed via endolaryngeal laser excision without any complications. The histopathologic investigation was reported as lipoma. Lipoma should be kept in mind in case of a hypopharyngeal large mass with a smooth and yellowish surface. Computerized tomography is useful in the differential diagnosis, and endolaryngeal laser excision is a good surgical treatment option for removal. © 2013 by Türkiye Klinikleri.