CC BY-NC-ND 4.0 · Laryngorhinootologie 2020; 99(S 02): S68-S69
DOI: 10.1055/s-0040-1710879

Transoral excision of a prevertebral lipoma

T Immer
1   Helios Klinikum Berlin Buch, HNO, Berlin
W Flügel
1   Helios Klinikum Berlin Buch, HNO, Berlin
M Bloching
1   Helios Klinikum Berlin Buch, HNO, Berlin
› Author Affiliations

Introduction Lipomas are the most common soft-tissue tumors in the body. A prevertebral occurance is rare and often only lead to symptoms when they reach large size.

Methods A 52 year old patient presented with coughing and the constant urge to clear the throat. The examination revealed a posterior pharyngeal wall bulging extending from epipharnyx to hypopharnynx. An outpatient performed MRI presented a large homogeneous mass originated in the prevertebral space. Total excision is the treatment of choice. A transcervial surgical approach and a transoral excision were discussed.

Results We performed the transoral surgical excision under general anasthesia. The tumor was completely removed. The histopathologic diagnosis of the lesion was lipoma. Following the excision the patient was relieved from the complaints.

Conclusion With the possibility of increasing size the complete surgical removal is the first choice of treatment. A transoral resection of a huge prevertebral lipoma can be performed.

Poster-PDF A-1399.PDF

Publication History

Article published online:
10 June 2020

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