Lipectomía cervical en tres tiempos en un caso de lipomatosis simétrica múltiple
Abstract Introduction and objective: Madelung disease is a rare pathology of adipose tissue which is characterized by the accumulation of non-encapsulated fatty tissue in neck, shoulder, thorax and proximal extremity. In some cases it originates very striking aesthetic deformities. Method: We present a case of Madelung disease treated in our department that caused a great aesthetic deformity and functional impotence in the patient. Results: A cervical lipectomy was performed in three times due to the severity of the case to reduce possible complications. Discussion: The etiology of multiple symmetric lipomatosis is unknown although there are several hypotheses and almost constant associations with some chronic processes, especially alcoholism. Various treatments have been tried although the only one that has been effective is surgery. Conclusions: The etiology is unknown and the differential diagnosis includes several entities.Surgery is reserved for aesthetic reasons or functional compromise due to the difficulty of resection and risk of recurrence.
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Ikumi I, Ikuo H, Nakamoto TS, Baccan FS, Raposo LS. Multiple symmetrical lipomatosis. Braz J Otorhinolaryngol. 2014;80:90-91. - https://doi.org/10.5935/1808-8694.20140018 - PMid:24626899
Jiménez F, Morales JM, Corzón T. Enfermedad de Madelung. Acta Otorrinolaringol Esp.2013;64:166-7. - https://doi.org/10.1016/j.otorri.2011.10.003 - PMid:22154295
Landínez GA, Alarcos EV, Millás T, Morais D. Lipoma laríngeo asociado a enfermedad de Madelung: a propósito de un caso. Acta Otorrinolaringol Esp. 2012; 63:311-3. - https://doi.org/10.1016/j.otorri.2011.01.008 - PMid:21419378
Parmar SC, Blackburn C. Madelung's disease: an uncommon disorder of unknown aetiology?. Br J Oral Maxillofac Surg. 1996;34:467-70. - https://doi.org/10.1016/S0266-4356(96)90110-2
Segura R, Morales JM, Blanco A, Blanco A. Enfermedad de Madelung. A propósito de 6 casos. Rev Tamé 2014;3:218-22.
Wollina U, Heining B. Madelung's disease. Case series and treatment by tumescent liposuction or lipectomy. Open Access Maced J Med Sci. 2017;5: 427-31. - https://doi.org/10.3889/oamjms.2017.114 - PMid:28785324 PMCid:PMC5535649
Figueroa LA, Santiago M, González E, González A, Cáceres W, Padilla M et al. Bilateral large palpable cervical masses: not always a malignant or infectious process. Bol Asoc Med P R. 2014;106: 42-5.
Gabriel YA, Chew DKW, Wedderburn RV. Multiple symmetrical lipomatosis (Madelung's disease). Surgery. 2001;117-8 - https://doi.org/10.1067/msy.2001.105032 - PMid:11150043
Garín M, De Grado M, Argueta L. Enfermedad de Madelung. Semergen. 2012;38:211-3. - https://doi.org/10.1016/j.semerg.2011.10.011 - PMid:23544721
Ikumi I, Ikuo H, Nakamoto TS, Baccan FS, Raposo LS. Multiple symmetrical lipomatosis. Braz J Otorhinolaryngol. 2014;80:90-91. - https://doi.org/10.5935/1808-8694.20140018 - PMid:24626899
Jiménez F, Morales JM, Corzón T. Enfermedad de Madelung. Acta Otorrinolaringol Esp.2013;64:166-7. - https://doi.org/10.1016/j.otorri.2011.10.003 - PMid:22154295
Landínez GA, Alarcos EV, Millás T, Morais D. Lipoma laríngeo asociado a enfermedad de Madelung: a propósito de un caso. Acta Otorrinolaringol Esp. 2012; 63:311-3. - https://doi.org/10.1016/j.otorri.2011.01.008 - PMid:21419378
Parmar SC, Blackburn C. Madelung's disease: an uncommon disorder of unknown aetiology?. Br J Oral Maxillofac Surg. 1996;34:467-70. - https://doi.org/10.1016/S0266-4356(96)90110-2
Segura R, Morales JM, Blanco A, Blanco A. Enfermedad de Madelung. A propósito de 6 casos. Rev Tamé 2014;3:218-22.
Wollina U, Heining B. Madelung's disease. Case series and treatment by tumescent liposuction or lipectomy. Open Access Maced J Med Sci. 2017;5: 427-31. - https://doi.org/10.3889/oamjms.2017.114 - PMid:28785324 PMCid:PMC5535649
Torres-Morientes, L. M., Fernández-Rodríguez, A., Álvarez-quiñones-sanz, M., & Morais-Pérez, D. (2018). Lipectomía cervical en tres tiempos en un caso de lipomatosis simétrica múltiple. Revista ORL, 10(2), 147–152. https://doi.org/10.14201/orl.17799
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