Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-27T00:01:04.187Z Has data issue: false hasContentIssue false

Lipoma of the hypopharynx: pre-operative diagnosis and transoral resection

Published online by Cambridge University Press:  29 June 2007

H. E. Eckel*
Affiliation:
Department of Oto-Rhino-Laryngology, University of Cologne, Germany.
M. Jungehülsing
Affiliation:
Department of Oto-Rhino-Laryngology, University of Cologne, Germany.
*
H. E. Eckel, M.D., Universitaets-Hals-Nasen-Ohrenklinik, Joseph Stelzmann Str 9, D-5000 Koeln 41, Germany.

Abstract

Clinically, lipomas of the hypopharynx may be confused with other benign or even malignant lesions. Barium flow radiography allows depiction of lesions cranial to the epiglottis, but often fails to be accurate for subepiglottic lesions. CT however has allowed a certain diagnosis to be made in many cases in the past. MRI is still more accurate, and allows not only a more specific diagnosis of the lesion, but also a better depiction of the origin of the pedunculated lesion and its extension in the parapharyngeal space. This paper adds three cases to the 52 cases in the literature already described and presents the typical features of hypopharyngeal lipoma by MRI for the first time.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allen, M. S., Talbot, W. H. (1967) Sudden death due to regurgitation of a pedunculated esophageal lipoma. Journal of Thoracic and Cardiovascular Surgery 54: 756758.Google Scholar
Cochet, B., Hohl, P., Sans, M., Cox, J. N. (1980) Asphyxia caused by laryngeal impaction of an esophageal polyp. Archives of Otolaryngology 106: 176178.Google Scholar
D'Auria, T., Santoro, S., Gambardella, A., D'Amico, A., Di-Salle, F. (1990) II lipoma dell'ipofaringe: il ruolo dell T. C. nel protocollo diagnostico. Acta-Otorhinolaryngolica Italia 10(1): 8792.Google Scholar
Kapur, T. R. (1986) Recurrent lipomata of the larynx and pharynx with late malignant change. Journal of Laryngology 82: 761768.CrossRefGoogle Scholar
Laurent, C, Lindholm, C. E., Nordlinder, H. (1985) Benign Pedunculated Tumours of the Hypopharynx, ORL. Journal of Otorhinolaryngology and Related Specialties 47: 1721.Google Scholar
Månsson, I., Wilske, J., Kindblom, L-G. (1978) Lipoma of the hypopharynx. A case report and review of the literature. Journal of Laryngology and Otology 92: 10371043.Google Scholar
Som, M. L., Wolff, L. (1952) Lipoma of the hypopharynx producing menacing symptoms. Archives of Otolaryngology 56: 524531.Google Scholar
Som, P. M., Scherl, M. P., Rao, V. M., Biller, H. F. (1986) Rare presentations of ordinary lipomas of the head and neck: a review. American Journal of Neurological Research 7(4): 657664.Google ScholarPubMed
Schrader, M. (1988) Verbesserte Diagnostik des Larynxlipoms durch die Computertomographie. HNO 36 (4): 161163.Google Scholar
Teresi, L. M., Lufkin, R. B., Hanafee, W. N. (1989) Magnetic resonance imaging of the larynx. Radiological Clinics of North America 27: 393406.CrossRefGoogle ScholarPubMed