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Journal of Maxillofacial and Oral Surgery

17-03-2024 | Intraoral Examination | SHORT COMMUNICATION

Infiltrating Lipomatosis of the Face with Subtle Extraoral Changes Diagnosed During Dental Examination

Authors: Magdalena Raquel Torres Reyes, Rubens Caliento, Julia Biliato Javaroni, Heitor Albergoni Silveira, Raquel Assed Bezerra Segato, Jorge Esquiche León

Published in: Journal of Maxillofacial and Oral Surgery

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Abstract

Background

Infiltrating lipomatosis of the face (ILF) is a congenital nonhereditary disorder in which the tissues of the facial region are infiltrated for unencapsulated mature adipocytes. Most patients report facial changes at birth, typically with unilateral involvement, affecting soft and bone tissues, as well as dental alterations. Multiple surgeries and recurrences are not uncommon events. Recent studies suggest that ILF belongs within the PIK3CA-related overgrowth spectrum.

Methods

A 12-year-old female patient was referred for evaluation of dental occlusion. Extraoral examination revealed slight right facial asymmetry. Intraoral examination showed that the occlusion plane was inclined downwards on the right side. Moreover, early tooth eruption, as well as a nodular swelling in the hard palate, on the right side, was visualized.

Results

Imaginological exams of palatal lesion supported a disorder than neoplastic process. After palate biopsy, the diagnosis was ILF.

Conclusions

The current case expands the clinicopathological spectrum of ILF, with subtle facial involvement being possible, and highlights the importance of dentistry in diagnosing this disorder.
Literature
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Sun R, Sun L, Li G, Sun Z, Zhao Y, Ma X, Sun C (2019) Congenital infiltrating lipomatosis of the face: a subtype of hemifacial hyperplasia. Int J Pediatr Otorhinolaryngol 125:107–112CrossRefPubMedMATH
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Li Y, Chang G, Si L, Zhang H, Chang X, Chen Z, Huang J, Bai M, Wang Y, Long X, Zhao R, Wang X (2018) Congenital infiltrating lipomatosis of the face: case report and literature review. Ann Plast Surg 80:83–89CrossRefPubMed
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Briand C, Galmiche-Rolland L, Vabres P, Couloigner V, Audebert S, Misery L, Abasq-Thomas C (2020) Congenital infiltrating lipomatosis of the face with lingual mucosal neuromas associated with a PIK3CA mutation. Pediatr Dermatol 37:1128–1130CrossRefPubMed
Metadata
Title
Infiltrating Lipomatosis of the Face with Subtle Extraoral Changes Diagnosed During Dental Examination
Authors
Magdalena Raquel Torres Reyes
Rubens Caliento
Julia Biliato Javaroni
Heitor Albergoni Silveira
Raquel Assed Bezerra Segato
Jorge Esquiche León
Publication date
17-03-2024
Publisher
Springer India
Published in
Journal of Maxillofacial and Oral Surgery
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-024-02142-3