Nihon Jibiinkoka Gakkai kaiho
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Nippon Jibiinkoka Gakkai Kaiho · Oct 2001
Case Reports[Direct laryngoscopic extirpation and wound suture for hypopharyngeal lipoma: a case report].
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. ⋯ 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.