Direct Laryngoscopic Extirpation and Wound Suture for Hypopharyngeal Lipoma: A Case Report

• Published in: Nippon Jibi Inkoka Gakkai Kaiho Vol. 104; no. 10; pp. 1044 - 1047
• Main Authors: Nishiyama, Koichiro, Takahashi, Hiroomi, Iguchi, Yoshiaki, Yamamoto, Kazuhiro, Yamanaka, Jun, Hiroshimaya, Takashi, Sato, Kentaro, Takeda, Masahiko, Masaki, Takashi, Hirayama, Masatoshi, Yao, Kazuo, Hirose, Hajime
• Format: Journal Article
• Language: English; Japanese
• Published: Japan The Oto-Rhino-Laryngological Society of Japan, Inc 2001
• Subjects: Aged; Aged, 80 and over; direct laryngoscopy; Female; Humans; hypopharyngeal lipoma; Hypopharyngeal Neoplasms - surgery; Laryngoscopy - methods; Lipoma - surgery; special probe with U-shaped tip; Suture Techniques - instrumentation; Treatment Outcome
• ISSN: 0030-6622; 1883-0854
• DOI: 10.3950/jibiinkoka.104.1044

We report a case of hypopharyngeal lipoma. An 82-year-old woman referred to our clinic for 10 years of wheezing and intermittent breathlessness developing 1 month before admission was found on laryngoscopic examination to have a mobile mass arising from the hypopharyngeal region intermittently obstructing the laryngeal airway. After emergency tracheotomy, the tumor was removed under direct laryngoscopy, given the patients age and general status. Under general anesthesia, the tumor was extirpated using a laser and electric scalpel under microlaryngoscopy. The operative wound was sutured under direct laryngoscopy using a specially designed probe with a U-shaped tip. The tumor was histologically diagnosed as lipoma. The surgical procedure enabled the operative wound to heal rapidly and oral feeding to start early.