Surgical treatment for large submandibular lipoma




Lipoma; Mouth Neoplasms; Surgical procedures, operative.


Lipoma is a benign tumor of mesenchymal origin with uncertain etiology. They have a predilection for men, between 50 and 70 years old and the trunk and extremities being the most common sites. Clinically, they appear as well-circumscribed lesions, mobile, soft to the touch, painless with a sessile or pedunculate base. The diagnosis is mostly clinical being confirmed through histopathological analysis and imaging exams and the treatment of choice is conservative surgical resection. The aim of this paper is to report a case of surgical treatment of an extensive lipoma in the submandibular region in a woman patient, 67 years old, who presented an increase in volume in the right submandibular region. On clinical examination, the patient presented a well-defined, mobile, soft palpation and painless lesion. An excisional biopsy was recommended. Under general anesthesia, Risdon's submandibular incision, divulsion of subcutaneous tissues and hemostasis of bleeding vessels were performed. The surgery continued with resection of the lesion, cavity toilet and continuous intradermal suture using layers. The pathological specimen was sent to the Pathology Department of the Hospital das Clínicas, Federal University of Pernambuco which showed a lesion measuring 14cm x 6.5 cm in size with obtaining confirmation of lipoma hypothesis. The case was accompanied for six years showing good aesthetic and functional results without recurrence. Therefore, even if not very frequent in the head and neck region, the Maxillofacial Surgeon needs to know the characteristics of this type of pathology, as well as the appropriate form of treatment to prevent recurrences.


Abajo, B. M., Polo, J. R. T., Barrena, I. R., & Poveda, M. D. (2016). Lipomas: classification, dermatologic manifestations and treatment. International Journal

of Cancer Research and Prevention, 9(2), 125.

Boyer, M., Monette, S., Nguyen, A., Zipp, T., Aughenbaugh, W. D., & Nimunkar, A. J. (2015). A review of techniques and procedures for lipoma treatment.

Clinic Dermatol, 3(4), 105-112.

Burt, A. M., & Huang, B. K. (2017). Imaging review of lipomatous musculoskeletal lesions. Sicot-j, 3(34), 1-17.

Castanha, D. M., Xavier, E. C. N., Guedes, R. L., Lyra, T. C., Coutinho, M. A. C. R., Brasil Junior, O. (2020). Tratamento cirúrgico de lipoma de grandes

proporções em região submandibular: relato de caso. Research, Society and Development, 9(10), 1-12.

Chatterjee, S., Prasad, S., Nayak, S. D., & Mahato, S. P. (2015). Anterior neck lipoma – A giant predicament. Hellenic Journal of Surgery, 87(2), 203-205.

Derin, A. T., & Yaprak, N. (2017). Lipomas: Review and evaluatıon of the literature. Clin Surg, 2, 1615.

Harfuch Capdevil, T., Vinitzky Brener, I., Liceaga Escalera, C. J., Aldape Barrios, B. C., & Rivero, A. (2020). Oral lipoma: Review of literature and case

report. Odontología Vital, (32), 79-86.

Kim, J. S., Choi, M. S., Lee, S. J., & Park, B. C. (2018). Clinico-surgical characteristics of head and neck lipomas. Dermatologic Surgery, 44(6), 893-895.

Lozano-Masdemon, B., Franco-Muñoz, M., Cortina de la Calle, P., & Flores-Terry, M. Á. (2017). Lipoma móvil encapsulado. Arch. argent. pediatr, 115(1),


Mohan, A., Aggarwal, A., & Aggarwal, S. (2016). Intraoral Lipoma: Rare Case report with clinical and histopathological study. Journal of Pierre Fauchard

Academy (India Section), 30(1), 32-34.

Mungul, S., Maharaj, S., & Masege, S. D. (2017). Lingual Fibrolipoma-A rare clinicopathological entity. South African Journal of Surgery, 55(2), 36-38.

Najaf, Y., Cartier, C., Favier, V., & Garrel, R. (2019). Symptomatic head and neck lipomas. European annals of otorhinolaryngology, head and neck diseases,

(2), 127-129.

Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2016). Oral and Maxillofacial Pathology. Elsevier Health Sciences.

Osterne, R. L., Lima-Verde, R., Turatti, E., Nanaka, C. F. W., & Cavalcante, R. B. (2019). Oral cavity lipoma: a study of 101 cases in a Brazilian population.

Jornal Brasileiro de Patologia e Medicina Laboratorial, 55(2), 148 – 159.

Pereira A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Recuperado de: em:

Singh, V., Kumar, V., & Singh, A. K. (2017). Giant Palmar Lipoma: A Rare Presentation. World journal of plastic surgery, 6(2), 248.

Won, J. H., Hur, K., Ohn, J., & Mun, J. H. (2020). Surgical management of lipomas: Proposal of the Z-incision design and surgical algorithm based on tumor

size. Dermatologic Therapy, 33(1), e13151.



How to Cite

MELO , R. E. V. A. de; LIMA, L. M. A. C. de .; AGUIAR, C. S. de; MELO, R. H. M. V. A. de .; RHODEN , D. L. B.; PINHEIRO, M. M. V. A. de M. .; SOUZA, J. L. de P. e; BUSTAMANTE, N. P. .; MONTESINOS, J. C. B. .; MELO, J. D. V. A. de .; FREITAS, N. D. V. de M. C. .; WAKED, J. P.; FRANÇA JÚNIOR, A. C. de . .; SEIXAS, Z. de A.; FERNANDES, M. C. R. .; MELO, V. L. M. V. A. de .; LINS, M. L. A. .; CUNHA FILHO, E. M. da; MELO JUNIOR, F. M. V. A. de; MELO, B. H. C. V. A. de . Surgical treatment for large submandibular lipoma. Research, Society and Development, [S. l.], v. 10, n. 1, p. e16110111488, 2021. DOI: 10.33448/rsd-v10i1.11488. Disponível em: Acesso em: 26 mar. 2023.



Health Sciences