A Rare Cause of Dysphagia: Giant Lipoma in Parapharyngeal Space

Abstract

Background: Parapharyngeal area is one of the most complex areas of head and neck anatomy. Tumors of the parapharyngeal region are very rare among head and neck tumors. Lipomas also constitute a tiny proportion of parapharyngeal tumors so parapharyngeal area lipomas are very rare in the literature. Due to anatomical location, these tumors treatment is challenging. Clinical Report: A 20-year-old male patient admitted to our department with complaints of swallowing difficulty and a mass on the right side of the neck. Magnetic resonance imaging was performed, and it was reported as a 6 × 4.5 cm lipoma. He underwent excision of parapharyngeal area lipoma by a transoral approach. Conclusion: Parapharyngeal lipomas are very rare, and difficult to diagnose before they turn out symptomatic. The primary treatment approach in tumors of the parapharyngeal area is surgery and the surgical approach should be chosen according to the anatomical location of the lesion.

Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography

“…This test may also be employed to diagnose dysphagia based on aspiration clinical signs, such as suffocation, coughs, and a wet voice [37]. Assessments also include differential diagnosis from dysphagia caused by organic causes such as pharyngeal tumors [38][39][40]. Since US provides an objective assessment of the motion of the hyoid bone and larynx and may help to detect NOD, it may be added to the current swallowing screening test for the more detailed management [41,42] of dysphagic patients.…”

Neck Pain Caused by Giant Dorsal Lipoma

“…Ventral cervical lipomas have been described with a focus on the possibility to compress vital structures, and operative techniques that prevent damage to neurovascular architecture 3,4. While posterior neck anatomy is less complex, giant dorsal lipomas tend to be larger as there are usually no adjacent structures that cause symptoms other than a limitation in the range of neck extension 5,6.…”