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Pathology
Lipoma
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References for further reading:
1) Myers E, N.: Buccal Space Masses, chapter 56 in
Operative Otolaryngology Head an
Neck Surgery, (Myers E.N., editor),
Saunders, 1997, pp. 528-533
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Discussion: A mass in the buccal space is not
common. The differential diagnosis
is extensive, including all tissue related to the space, such as: glandular, lymphatic,
neural, vascular, connective, muscular and inflammatory.
There are two types of approaches to the buccal space. 1)
Direct approach through the skin over the tumor. 2) Intraoral route
The disadvantages of these approaches are: the danger of
injury to the facial nerve and the Stensen’s duct, due to the lack
of adequate exposure.
The parotid-submandibular approach, proposed by Dr. Myers,
has the following advantages: 1) Adequate exposure 2) Better exposure,
and therefore, proper identification and control over the branches of the
facial nerve and Stensen’s duct. 3) Adequate cosmesis with a well
camouflaged scar.
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Acknowledgment:
To all of the patients who have taught me so
much.
To Dr. José Otero for his participation and
assistance in the case.
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Any comments or questions regarding the above,
please notify at  ariera@spray.no
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