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1. Lipoma - Case Presentation
Dr. Amit T. Suryawanshi
Dentist & Oral and Maxillofacial Surgeon
Pune, India
Contact details :
Email ID - amitsuryawanshi999@gmail.com
Mobile No - 9405622455

2. INVESTIGATIONS
BLOOD INVESTIGATIONS:
• Total haemogram
• Blood sugar levels
• Bleeding and clotting time
• Urine examination
• HIV and HBsAg test.
• LFT; RFT; serum electrolytes

3. • ULTRASONOGRAPHY:
Ill-defined region of altered echogenecity similar
to subcutaneous fat. Underlying mandibular
cortex was intact.
Features suggestive of lipoma/ fibrolipoma,
suggest FNAC correlation

4. OTHER ROUTINE INVESTIGATIONS:
- ECG
- Chest radiograph PA view

5. Treatment plan
• Excision of the lesion under Local anesthesia.

6. Pre-operative instructions
• Informed Consent
• Inj. Tetanous toxoid.
• Xylocain sensitivity test
• Inj. Taxim – 1 gm iv

7. Incision made along the prominent aspect
of the swelling

8. Overlying skin was carefully separated in a lid- like
fashion, retracted, and blunt dissection carried out to
separate the lesion from the surrounding structures.

9. Further dissection showed considerable attachment
of the lesion to the underlying muscle.

10. Lesion was completely separated from the
surrounding structures and removed

11. Excised specimen

12. Wound - post-excision

13. Excess skin was trimmed, and wound closure
was done in layers with 4-0 vicryl & 5-0 proline.

14. 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

15. POST OPERATIVE MEDICATION
• Tab. Taxim-O 200 mg, BD
• Tab Voveran 50 mg TDS
• Tab Rantac 150 mg BD

16. Immediate Postoperative photographs

17. PREOPERATIVE POSTOPERATIVE

18. THANK YOU