title: [Direct laryngoscopic extirpation and wound suture for hypopharyngeal lipoma: a case report].
abstract: We report a case of hypopharyngeal lipoma. An 82-year-old woman referred to our clinic for 10 years of wheezing and intermittent breathlessness developing 1 month before admission was found on laryngoscopic examination to have a mobile mass arising from the hypopharyngeal region intermittently obstructing the laryngeal airway. After emergency tracheotomy, the tumor was removed under direct laryngoscopy, given the patients age and general status. Under general anesthesia, the tumor was extirpated using a laser and electric scalpel under microlaryngoscopy. The operative wound was sutured under direct laryngoscopy using a specially designed probe with a U-shaped tip. The tumor was histologically diagnosed as lipoma. The surgical procedure enabled the operative wound to heal rapidly and oral feeding to start early.
authors.affiliation: Department of Otorhinolaryngology, Kitasato University School of Medicine, Kanagawa.
authors.forename: K
authors.initials: K
authors.lastname: Nishiyama
authors.forename: H
authors.initials: H
authors.lastname: Takahashi
authors.forename: Y
authors.initials: Y
authors.lastname: Iguchi
authors.forename: K
authors.initials: K
authors.lastname: Yamamoto
authors.forename: J
authors.initials: J
authors.lastname: Yamanaka
authors.forename: T
authors.initials: T
authors.lastname: Hiroshimaya
authors.forename: K
authors.initials: K
authors.lastname: Sato
authors.forename: M
authors.initials: M
authors.lastname: Takeda
authors.forename: T
authors.initials: T
authors.lastname: Masaki
authors.forename: M
authors.initials: M
authors.lastname: Hirayama
authors.forename: K
authors.initials: K
authors.lastname: Yao
authors.forename: H
authors.initials: H
authors.lastname: Hirose
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007828:Laryngoscopy / Q000379:methods*; D008067:Lipoma / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation; D016896:Treatment Outcome