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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
© 2023 Korean Skull Base Society.

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


October 2023, 18 (2)
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