Gingival Lipoma Following Tongue Tissue Grafting
Journal of Dental School,
Vol. 43 No. 3 (2025),
30 July 2025
,
Page 173-176
https://doi.org/10.22037/jds.v43i3.46773
Abstract
Objectives: Lipoma, the most frequently observed benign mesenchymal neoplasm, is infrequently encountered within the oral cavity. Typically manifesting in middle-aged individuals irrespective of sexual predilection, it presents as an asymptomatic, slowly progressive lesion. Within the oral cavity, the buccal mucosa and mucobuccal fold represent the most common anatomical locations for lipoma development. Case: A 36-year-old male patient's medical history included a shotgun injury 15 years prior, which resulted in the avulsion of multiple mandibular teeth. Subsequently, tongue tissue was grafted to the affected area. A pedunculated lesion later developed within the grafted tissue and was surgically removed. Histopathological examination of the excised lesion revealed an intraoral lipoma. The patient's medical history was otherwise unremarkable, with no reported systemic illnesses or medication use. A separate, analogous case involved tongue tissue grafting to a cleft palate defect, which also exhibited similar characteristics. Conclusion: The significance of this case lied in the rare occurrence of a lipoma on an edentulous mandibular ridge previously augmented with a tongue tissue graft. The etiology of lipoma may be linked to both the surgical trauma and the inherent properties of the grafted tissue. Critically, this report highlighted the potential for donor tissue characteristics to persist within the recipient site following grafting, contrasting with the typical physiological traits of the recipient site itself. This observation warranted careful consideration in comparable clinical scenarios.
- Intraoral Lipoma
- Soft Tissue Tumor
- Mesenchymal Tumor
- Lingual Graft
- Benign Soft
- Tissue Tumor
How to Cite
References
Ravi KiRan A, PuRnachanDRaRao naiK N, Samatha Y, vijaY KumaR A, KalYan KumaR D. "Intraoral lipoma: a rare case report and review of literature." J Clin Diagn Res. (2013): 7(12);3090-1. doi: 10.7860/JCDR/2013/6845.3863
Naruse T, Yanamoto S, Yamada S, Rokutanda S, Kawakita A, Takahashi H, et al. "Lipomas of the oral cavity: clinicopathological and immunohistochemical study of 24 cases and review of the literature." Indian J Otolaryngol Head Neck Surg. 2015;67(Suppl 1):67-73. doi: 10.1007/s12070-014-0765-8.
Devi, Ahanthem Nandita, M. B. Sowbhagya, P. Balaji, and TS Mahesh Kumar. "An uncommon case of fibrolipoma." Indian J Dent Res. 2017 Nov-Dec;28(6):699-701. doi: 10.4103/ijdr.IJDR_718_16.
Chhetri P, Nandini DB, Singh KS, Banerjee S. "Fibrolipoma of the buccal mucosa in a geriatric patient." J Microsc Ultrastruct. 2022 ;10(4):204-207. doi: 10.4103/jmau.jmau_97_21.
Thakur M, Reddy Kundoor VK, Maloth KN, Nayanala VA. Intraoral lipoma at an unusual site: A rare presentation. J Dent Allied Sci 2017;6:98-100. doi: 10.4103/jdas.jdas_20_17
Sakai T, Iida S, Kishino M, Okura M, Kogo M. "Sialolipoma of the hard palate." J Oral Pathol Med. 2006;35(6):376-8. doi: 10.1111/j.1600-0714.2006.00409.x
Fregnani ER, Pires FR, Falzoni R, Lopes MA, Vargas PA. Lipomas of the oral cavity: clinical findings, histological classification and proliferative activity of 46 cases. Int J Oral Maxillofac Surg. 2003;32(1):49-53. doi:10.1054/ijom.2002.0317
Aust MC, Spies M, Kall S, Gohritz A, Boorboor P, Kolokythas P, Vogt PM. Lipomas after blunt soft tissue trauma: are they real? Analysis of 31 cases. British journal of dermatology. 2007 Jul 1;157(1):92-9. doi: 10.1111/j.1365-2133.2007.07970.x
Bienvenue Ntep ND, Bengondo C, Kenna E, Mendouga Menye C. "A Giant Oral Lipoma with Possible Post-Traumatic Origin: A Rare Entity at the University Teaching Hospital Center of Yaounde." Oral Health Dent Manag. 2019:18(3);10-35248. doi: 10.35248/2247-2452.19.18.1061
McTighe S, Chernev I. Intramuscular lipoma: a review of the literature. Orthop Rev (Pavia). 2014;6(4):5618. doi: 10.4081/or.2014.5618
Bancroft Laura W, Kransdorf M J, Peterson JJ, Connor MI. "Benign fatty tumors: classification, clinical course, imaging appearance, and treatment." Skeletal Radiology. 2006: 35(10); 719-33. doi: 10.1007/s00256-006-0189-y
Longo F, Maremonti P, Mangone GM, De Maria G, Califano L. "Midline (dermoid) cysts of the floor of the mouth: report of 16 cases and review of surgical techniques." Plast Reconstr Surg. 2003;112(6):1560-5. doi: 10.1097/01.PRS.0000086735.56187.22.
Raj, Mahendra, Thanuja Ramadoss, G. Anuradha, and Shobana Devi. "Intraoral lipoma: review of literature and case report." Journal of Indian academy of oral medicine and radiology 24, no. 1 (2012): 36. doi:10.5005/jp-journals-10011-1256
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