A case of iatrogenic septal lipoma after transsphenoidal approach of a pituitary surgery

Young Seok Han; Joo Yeon Kim; Chang Hoi Kim; Jae Hwan Kwon

doi:10.55911/JKSBS.23.0007

A case of iatrogenic septal lipoma after transsphenoidal approach of a pituitary surgery

J Korean Skull Base Soc 2023;18(2):141-145

Published online October 31, 2023

Young Seok Han¹, Joo Yeon Kim¹, Chang Hoi Kim², Jae Hwan Kwon¹

¹Department of Otolaryngology-Head and Neck Surgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea
²Department of Otolaryngology-Head and Neck Surgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea

Correspondence to: Jae Hwan Kwon
E-mail entkwon@hanmail.net
ORCID https://orcid.org/0000-0002-3260-6969

Received March 22, 2023; Revised April 19, 2023; Accepted April 24, 2023.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: Lipoma is the most common benign tumor in adults, but it is rare in the nasal cavity, paranasal sinus, and nasal septum. A 44-year-old woman who had a fat autograft during pituitary surgery two months ago visited with a headache and a fetid odor. Although there were no specific findings on her nasal endoscopy, 2.0 cm × 1.5 cm homogenous low-density mass was persisted in the posterior septum and sphenoid sinus on non-contrast computed tomography. Under general anesthesia, we completely removed the mass through endoscopic sinus surgery and postoperative histopathology confirmed it as a fibrolipoma. We report a case of nasal septal fibrolipoma resulting from autologous fat grafted during surgical removal of a pituitary tumor.; Keywords : Nasal septum, Lipoma, Transsphenoidal approach