title: Madelung's disease: case report and discussion of treatment options.
abstract: Madelung's disease was first described in 1846. Since then, approximately 200 patients have been reported in the literature. Its three main characteristics-typical location of the lesions, symmetry, and the diffusive nature of the fat-are more often found in men of Mediterranean descent. A clear association with alcohol abuse is reported, but the etiology remains uncertain. Patients usually complain of their cosmetic appearance, but treatment can be rendered for decreased neck motion and/or aerodigestive problems. Given the benign nature of the lesion, surgical debulking is the treatment of choice, with liposuction reserved for smaller lesions. A standard facelift pattern can be used for skin incisions and removal, with good cosmetic results.
authors.affiliation: Department of Plastic Surgery, University of Catanzaro, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Adamo
authors.forename: G
authors.initials: G
authors.lastname: Vescio
authors.forename: M
authors.initials: M
authors.lastname: Battaglia
authors.forename: G
authors.initials: G
authors.lastname: Gallelli
authors.forename: S
authors.initials: S
authors.lastname: Musella
mesh_terms: D000368:Aged; D006801:Humans; D015187:Lipectomy; D008069:Lipomatosis, Multiple Symmetrical / Q000209:etiology / Q000601:surgery*; D008297:Male; D015361:Rhytidoplasty; D016896:Treatment Outcome