Background <p>Intraosseous lipoma is a rare benign tumor of the jaw, and involvement of the lingular region of the mandible is exceptional.</p> Case Presentation <p>A 48-year-old male presented with pain and a burning sensation over the left posterior mandible. Orthopantomography showed a well-defined radiolucent lesion abutting the lingula. Computed tomography was used to assess the extent of the lesion and to obtain precise measurements for planning a lateral window in the ramus.</p> Management <p>The lesion was excised under general anesthesia through a Hinds incision. During surgery, the intraosseous lipoma was carefully removed while preserving the inferior alveolar nerve and lingual nerve.</p> Outcome <p>Histopathology confirmed the diagnosis of intraosseous lipoma. The postoperative course was uneventful, with no paresthesia or other neurological deficit.</p> Conclusion <p>Careful radiologic planning and nerve-preserving surgical technique are essential for the successful management of intraosseous lipoma in the lingular region of the mandible.</p>

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Intraosseous Lipoma Abutting Lingula of the Mandible: A Case Report

  • Rohit Srikanthan,
  • Narahari Ranganatha,
  • Suraj Sathyendra

摘要

Background

Intraosseous lipoma is a rare benign tumor of the jaw, and involvement of the lingular region of the mandible is exceptional.

Case Presentation

A 48-year-old male presented with pain and a burning sensation over the left posterior mandible. Orthopantomography showed a well-defined radiolucent lesion abutting the lingula. Computed tomography was used to assess the extent of the lesion and to obtain precise measurements for planning a lateral window in the ramus.

Management

The lesion was excised under general anesthesia through a Hinds incision. During surgery, the intraosseous lipoma was carefully removed while preserving the inferior alveolar nerve and lingual nerve.

Outcome

Histopathology confirmed the diagnosis of intraosseous lipoma. The postoperative course was uneventful, with no paresthesia or other neurological deficit.

Conclusion

Careful radiologic planning and nerve-preserving surgical technique are essential for the successful management of intraosseous lipoma in the lingular region of the mandible.