If the lipoma grows on both sides of the face, we can avoid the tumor through endoscopic surgery, make an incision in other places to remove the tumor, and then use hair as a cover, so it is difficult to find the wound. (Photo/Huang Zhiwen) A 35-year-old female patient with a huge lipoma on her left cheek was recently admitted to the Affiliated Hospital of China Medical University. Because the tumor is located above the maxilla and masticatory muscles, and the depth is very deep, if it is removed by traditional knife method, it will leave an obvious mark as big as longan. Finally, the attending physician decided to change to endoscopic resection, skillfully put the knife edge in front of the ear, and then cover the small wound with long hair after operation, so that others could hardly see the traces of the operation.
Xu Yongchang, a plastic surgeon in the Affiliated Hospital of China Medical University, said that lipomas are usually directly removed with a scalpel, and the incision is directly above the tumor, so it is easy to leave a huge wound, and limited by the surgical field of vision, there may be questions about cleanliness.
Dr. Xu Yongchang pointed out that minimally invasive endoscopic surgery has little trauma, and can open the wound in other parts of the face, such as scalp hair or skin wrinkles, or cover it after remote resection to achieve the effect of leaving no trace. It is worth noting that due to the limitation of facial skeleton contour, although endoscope can properly treat tumors in forehead and cheek, it is not suitable for growing in the middle of face.
In addition, lipomas can appear anywhere. If the patient has multiple lipomas in the upper limb, if the traditional method is adopted, 10 tumors will have 10 wounds, and if it is replaced by endoscope, it will be reduced to 1 2, which can reduce the number of wounds and reduce the chance of infection.