Congenital Infiltrating Lipomatosis of the Face

Görken, Cenk; Alper, Mehmet; Bılkay, Ufuk; Çelik, Naci; Songür, Ecmel

doi:10.1097/00001665-199907000-00014

Cited by 12 publications

(7 citation statements)

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“…Kang et al described a patient with CILF requiring multiple surgical procedures to restore a degree of facial symmetry, including zygomatic and orbital rim trimming (Kang et al, 1998). Multiple surgical steps were also reported by Görken et al in their case presented in 1999 (Görken et al, 1999). They also concluded that the treatment plan should be individually planned for each patient with CILF (Görken et al, 1999).…”

Section: Discussionmentioning

confidence: 91%

Congenital infiltrating lipomatosis of the face with associated involvement of the TMJ structures. Case report and review of the literature

Keramidas

Lagogiannis

Vlachou

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 91%

Congenital infiltrating lipomatosis of the face with associated involvement of the TMJ structures. Case report and review of the literature

Keramidas

Lagogiannis

Vlachou

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…Enzinger and Weiss classified the lipomatosis into three different (6) increased number of nerve bundles of variable size with focal fibrosis. 1 Reported phenotypic features of facial lipomatosis include (1) unilateral hypertrophy of soft tissues of the face, most commonly the cheek, with underlying fat infiltration and skeletal overgrowth, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] (2) cutaneous capillary blush (usually after resection), 10 (3) macrodontia on the affected side, 1,3,6,9,10 (4) abnormal root formation, 3 (5) early eruption of deciduous and permanent (7) protuberances on the tongue and buccal mucosa, which are representation of underlying mucosal neuromas 10,16 (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…1 All cases reported in the literature have been of patients in the first three decades of life, with most presenting in infancy with unilateral swelling of the cheek or chin due to normal functioning but hypertrophied tissues. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] This condition shows a wide phenotypic range [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] and distinct histopathologic features. 1 Even though the condition is clearly defined as a clinical entity, the pathogenesis and biological behaviour remain uncertain.…”

Section: Introductionmentioning

confidence: 99%

“…Regardless of management philosophy, all reported cases had uncertain prognosis with high rates of recurrence and variable post-op cosmetic improvement. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Here we report a case of a recurrent left sided swelling in the upper two thirds of the face in a 27-year-old female, with a history of two previous resections in this region.…”

Section: Introductionmentioning

confidence: 99%

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Facial infiltrating lipomatosis: A case report and review of literature

Singh

Sen

Musgrove

et al. 2011

International Journal of Surgery Case Reports

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Infiltrating lipomatosis of the face has been described as a congenital disorder in which mature lipocytes invade adjacent tissues in the facial region. The presentation is always unilateral with hypertrophy of hard and soft structures on the affected side of the face. We present a case of a 27-year-old female who reported with a complaint of recurrent unilateral facial swelling with history of two previous resections, the histopathology or details of these surgeries were not available. The patient underwent resection of tumour and the histopathology confirmed it to be infiltrating lipomatosis. The surgery resulted in a definite improvement in the facial asymmetry and the patient is being closely followed up with no evidence of recurrence. The pathogenesis of the condition is unclear, though it has been postulated that the condition is at one end of a spectrum of overgrowth syndromes with classic Proteus syndrome on the other extreme. Management of this condition involves resection of the tumour which in most cases is subtotal to reduce the risk of damage to facial nerve. There is a controversy regarding both timing and extent of resection in the literature and we think the subtotal resection of tumour in an adolescent or older patient can give good aesthetic outcome without compromising facial nerve function. However, the patients should be informed about high rate of recurrence and increase risk of complications with any subsequent surgery.

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“…Multipotential cells of embryogenic origin under the influence of hormones, trauma, chronic irradiation, muscle metaplasia or congenital cytomegalovirus infection could precipitate the somatic defect. [7][8][9][10][11] This rare entity is classified as a subgroup of lipoma. Benign lipomas have five subgroups: 8 1. simple encapsulated lipoma 2. lipoma variants such as angiomyolipoma 3. hamartomatous lesions 4. infiltrating or diffuse lipomatosis 5. benign tumour of brown fat-hibernoma.…”

Section: Introductionmentioning

confidence: 99%