Buccal lipoma in an elderly male: Insights into diagnostic challenges and surgical management of a tumor

Abstract

Author(s): Mohammed Alqarny

Lipomas are benign tumors consisting of mature adipocytes, with a low incidence in the buccal region, accounting for approximately 1% of head and neck lipomas. This case study discusses a 65-year-old male patient with a medical history of type II diabetes and hypertension, who presented with a painless, progressively enlarging mass in the left buccal area, persisting for one year. Clinical examination revealed a firm, mobile, non-tender mass measuring approximately 4 cm x 5 cm, with no signs of facial nerve involvement. Preoperative MRI confirmed the presence of a lipomatous mass. The surgical excision was performed under local anesthesia, utilizing adrenaline to enhance hemostasis. Due to the proximity of the mass to the buccal branch of the facial nerve, meticulous surgical technique was employed. Histopathological analysis validated the diagnosis of lipoma. The patient experienced an uneventful recovery, with no complications or recurrence noted at the one-year follow-up. This case underscores the significance of imaging studies, thorough surgical planning, and precision in technique when managing buccal lipomas in elderly patients.

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