OROPHARYNGEAL FAT PROLAPSE IN MULTIPLE SY MMETRICAL LIPOMATOSIS

Background: Multiple symmetric lipomatosis (MSL) is a rare disorder cl inically characterized by the presence of nonencapsulated lipomatous t issue around the neck, shoulders, and upper part of the thorax. The en tity is frequently associated with peripheral neuropathy, chronic hepa topathy, and alcoholism. Despite of the cosmetical aspect of the patie nt with a reduced range of motion of the head and neck, MSL is asympto matic in most cases. Case report: A 61-year-old man with Madelung's di sease complaining of acute dysphagia is presented. Magnetic resonance imaging revealed an oropharyngeal fat prolapse originating from the li pomatous tissue at the neck site. A symmetric resection of the neck fa t with removal of the fat prolapse resulted in a satisfying functional and cosmetical outcome. Conclusion: To prevent complications and cosm etical disfigurement, early surgical intervention is recommended.