Electrosurgical Management of a Rare Case of Intraoral Fibrolipoma of Buccal Mucosa: A Clinical and Histopathologic Case Report

Abstract

Introduction: Fibrolipoma, a histologic variant of lipoma, mostly affects the buccal mucosa and causes functional and cosmetic disabilities. Oral lipomas are benign and rarely seen in the oral cavity. Fibrolipoma of the oral cavity has also been infrequently reported. This report presents a rare case of intraoral fibrolipoma detected on the right buccal mucosa. The lesion was removed using electrosurgery (ES).Case Presentation: A 40-year-old female patient presented with a chief complaint of a painless growth on the right buccal mucosa causing irritation when opening and closing the mouth. Provisionally diagnosed as irritational fibroma, the growth was excised using ES under local anesthesia. No sutures were placed, and the bleeding was controlled in the intermittent coagulation mode. The histopathologic report revealed the lesion to be a fibrolipoma. Healing was uneventful, and no recurrence was observed for a period of 1 year.Conclusions: Compared with scalpel surgery, ES requires more expertise, but the advantages counter the technical complexities. Minimal bleeding and postoperative discomfort and good patient compliance were observed in this case. Therefore, ES may be considered as a patient-and clinician-friendly tool, although a long-term comparative assessment with scalpel surgery is recommended to establish its effectiveness. Clin Adv Periodontics 2014;4:162-166.