Intraoral excision of a huge retropharyngeal lipoma causing dysphagia and obstructive sleep apnea

A huge retropharyngeal lipoma: a rare cause of dysphagia: a case report and literature review

“…Complete surgical removal is the preferable treatment. The surgical approach changes depending on the location of lipoma [3, 4, 9]. Retropharyngeal lipoma can be managed through transoral or external approach.…”

“…Transoral robotic surgery has recently been used for the excision in some cases of retropharyngeal lipoma [10]. Transoral excision is the most preferred way for surgery because of the lower postoperative morbidity, the shorter hospitalization time and the absence of scar tissue [4-11]. On the other hand, transcervical approach is an option for large lipomas because it gives an easier access to the mass, nevertheless post-surgery morbidity is greater than transoral approach and there can be a risk of damaging cranial nerves and carotid artery [3, 11, 12].…”

MR findings of retropharyngeal lipoma causing obstructive sleep apnea syndrome

“…Retropharyngeal lipomas rarely cause obstructive sleep apnea syndrome. Only 6 cases have been reported so far, with retropharyngeal lipomas causing sleep apnea syndrome, in relevant literature [4]. Depending on their sizes, retropharyngeal lipomas might cause the emergence of symptoms secondary to airway obstruction with alternating clinical severity, such as dysphagia, snoring, dyspnea and obstructive sleep apnea syndrome [5].…”

Transoral removal of a parapharyngeal space giant lipoma with spread to the C₁-C₄ vertebrae

“…Несмотря на доброкачественный характер липом, они могут вызывать масс-эффект, что особенно опасно при локализации опухоли в области шеи из-за отсутствия растяжимости мягких тканей [1]. Однако чаще всего, прежде чем вызывать клиническую симптоматику, липомы достигают значительных размеров [16][17][18]. Клиническая картина варьирует в зависимости от того, какие отделы дыхательных путей и пищеварительного тракта были затронуты опухолью [8].…”