Nancy Trujillo-García, Departamento de Cirugía Maxilofacial, Hospital General Regional 46, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México
Irma Y. Castillo-López, Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello, Hospital General Regional 46, IMSS, Guadalajara, Jalisco, México
Carmen A. Carrillo-López, Departamento de Cirugía Maxilofacial, Hospital General Regional 46, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, México
Diana P. Mariscal-Arellano, Departamento de Otorrinolaringología y Cirugía de Cabeza y Cuello, Centro Médico Nacional de Occidente, IMSS. Guadalajara, Jalisco, México
Introduction: Lipomas are the most common tumors of mesenchymal origin throughout the body. Although they have low incidence in the oral cavity, they surgical approach can be challenging. Case report: 10-year-old male with a giant lipoma in the buccal and masticator space, an intraoral surgical approach was chosen using by modifying trident technique of Ramírez- Oropeza. Discussion: The main advantages and limitations of this intraoral approach are examined. Conclusions: An intraoral approach was selected because of less possibility of injuring the facial nerve, better esthetic results and less invasive, obtaining excellent results.
Keywords: Bichectomy. Lipoma. Masticator space. Intraoral approach.