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. 2008 Sep 12:2:301.
doi: 10.1186/1752-1947-2-301.

Fibrolipoma of the lip treated by diode laser surgery: a case report

Saverio Capodiferro  1 , Eugenio Maiorano, Francesco Scarpelli, Gianfranco Favia
Affiliations

Fibrolipoma of the lip treated by diode laser surgery: a case report

Saverio Capodiferro et al. J Med Case Rep. .

Abstract

Introduction: Several neoplasms of the adipose tissue can involve the soft tissues of the head and neck region. These neoplasms are mainly treated surgically and an accurate histological examination is mandatory for a precise diagnosis.

Case presentation: We report a case of fibrolipoma involving the lower lip of a 43-year-old man, which was successfully treated by diode laser surgery. This approach allowed adequate resection of the neoplasm with minimal damage to the adjacent tissues, thus reducing post-surgical scarring.

Conclusion: Diode laser surgery for the treatment of benign lesions of the oral mucosa appears to be a convenient alternative to conventional blade surgery and has proved to be effective for the excision of fibrolipoma of the lip. The possibility of avoiding direct suture after excision is surely helpful when aesthetic areas, such as the lip, are surgically treated. For these reasons, and also considering the lower histological alteration of the specimen obtained with diode laser surgery if adequately used, the diode laser is undoubtedly a good alternative to conventional surgery.

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Figures

Figure 1
Figure 1
Clinical appearance of fibrolipoma. This lesion usually presents as an asymptomatic swelling of soft consistency, mobile on the surrounding tissues.
Figure 2
Figure 2
Clinical appearance of the surgical scar 10 days after surgery. The use of a diode laser with a 300 μm fibre and operating at 2,5 W allowed prompt recovery of the patient, with no inaesthetic alterations of the adjacent tissues.
Figure 3
Figure 3
Histological features of fibrolipoma at high-power magnification. The tumour is composed of mature and univacuolated fat cells, embedded in dense collagen fibres. No morphological or structural alterations of the tissues due to the thermal cut of the diode laser are detectable (haematoxylin-eosin stain, original magnification ×20).
See this image and copyright information in PMC

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