case_images: PMC4357079_01
case_images: Preoperative
case_images: IJDENT-6-49-g001.jpg
case_images: PMC4357079_01_IJDENT-6-49-g001.jpg
case_images: F1
case_images: The swelling measured about 6 cm x 4 cm [Figure 1].
case_images: Computed tomography scan of the lesion
case_images: IJDENT-6-49-g002.jpg
case_images: PMC4357079_01_IJDENT-6-49-g002.jpg
case_images: F2
case_images: Based on the above findings, the lesion was provisionally diagnosed as lipoma in the retromandibular region [Figure 2].
case_images: Incision
case_images: IJDENT-6-49-g003.jpg
case_images: PMC4357079_01_IJDENT-6-49-g003.jpg
case_images: F3
case_images: A Risdon's incision extending up to the retromandibular region [Figure 3] was placed and a subplatysmal dissection was performed to approach the mass.
case_images: Intra-operative, lesion exposed in the neck
case_images: IJDENT-6-49-g004.jpg
case_images: PMC4357079_01_IJDENT-6-49-g004.jpg
case_images: F4
case_images: Hence, careful dissection was performed to separate it from the vessel to prevent any injury to the same [Figure 4].
case_images: Excised lesion
case_images: IJDENT-6-49-g005.jpg
case_images: PMC4357079_01_IJDENT-6-49-g005.jpg
case_images: F5
case_images: The excised mass [Figure 5] was soft, yellow, smooth, shiny and ovoid, measuring about 5 cm x 4 cm, which was sent for histopathological examination.
case_images: Histopathology
case_images: IJDENT-6-49-g006.jpg
case_images: PMC4357079_01_IJDENT-6-49-g006.jpg
case_images: F6
case_images: The biopsy report revealed lobular growth of large mature fat cells with clear cytoplasm and thin strands of connective tissue, scanty inflammatory cells and few blood vessels [Figure 6].
case_images: Post-operative
case_images: IJDENT-6-49-g007.jpg
case_images: PMC4357079_01_IJDENT-6-49-g007.jpg
case_images: F7
case_images: Postoperatively, symmetry of the face could be appreciated [Figure 7] without any facial nerve palsy and other complications.