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Lipoma - Case Presentation 
Dr. Amit T. Suryawanshi 
Dentist & Oral and Maxillofacial Surgeon 
Pune, India 
Contact details : 
Email ID - amitsuryawanshi999@gmail.com 
Mobile No - 9405622455
INVESTIGATIONS 
BLOOD INVESTIGATIONS: 
• Total haemogram 
• Blood sugar levels 
• Bleeding and clotting time 
• Urine examination 
• HIV and HBsAg test. 
• LFT; RFT; serum electrolytes
• ULTRASONOGRAPHY: 
Ill-defined region of altered echogenecity similar 
to subcutaneous fat. Underlying mandibular 
cortex was intact. 
Features suggestive of lipoma/ fibrolipoma, 
suggest FNAC correlation
OTHER ROUTINE INVESTIGATIONS: 
- ECG 
- Chest radiograph PA view
Treatment plan 
• Excision of the lesion under Local anesthesia.
Pre-operative instructions 
• Informed Consent 
• Inj. Tetanous toxoid. 
• Xylocain sensitivity test 
• Inj. Taxim – 1 gm iv
Incision made along the prominent aspect 
of the swelling
Overlying skin was carefully separated in a lid- like 
fashion, retracted, and blunt dissection carried out to 
separate the lesion from the surrounding structures.
Further dissection showed considerable attachment 
of the lesion to the underlying muscle.
Lesion was completely separated from the 
surrounding structures and removed
Excised specimen
Wound - post-excision
Excess skin was trimmed, and wound closure 
was done in layers with 4-0 vicryl & 5-0 proline.
Postoperative instructions 
• Soft diet for 1 week. 
• Follow-up after 1 week. 
• Suture removal to be done after 1 week. 
• Follow-ups 1 week, 15 days, 1 month, 3 
months, 6 months, 1 Year, Then yearly follow 
up upto 5 years 
• Inform SOS
POST OPERATIVE MEDICATION 
• Tab. Taxim-O 200 mg, BD 
• Tab Voveran 50 mg TDS 
• Tab Rantac 150 mg BD
Immediate Postoperative photographs
PREOPERATIVE POSTOPERATIVE
THANK YOU

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Dentist in pune.(BDS. MDS) - Dr. Amit T. Suryawanshi. Lipoma- Case Presentation