Lipoma of the vallecula: a rare cause of upper aerodigestive tract obstruction: case report
Year: 2023
Type: article
Study design: Case Report
Abstract: Lipoma of the vallecula is extremely rare with fewer than 10 cases reported in literature so far. We present a case of an 81-year-old male with a history of slowly progressing dysphagia, change in voice, and difficulty breathing. Examination of the oropharynx revealed a smooth surfaced, oval mass originating from the base of the tongue and occupying the whole oropharyngeal opening. Computed Tomography (CT) scanning of the neck revealed a mass with features of a lipoma originating from the left vallecula. A diagnosis of left vallecula lipoma was established. Complete excision by transoral open surgical approach was preferred preceded by tracheostomy. There were no signs of recurrence at 6 months follow up. Although rare, lipoma should be considered as a differential diagnosis of vallecular masses. Proper assessment of size and adequate preparation of the surgical team is paramount as large vallecular lipomas may make orotracheal intubation difficult, necessitating tracheostomy tube insertion prior to surgical excision.
Source: PAMJ Clinical Medicine
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $200
OpenAlex ID: W4352994053