호흡곤란을 초래한 양성 대칭성 지방종증2예의 수술적 치료 = Surgical Treatment of Two Cases of Benign SymmetricalLipomatosis Causing Dyspnea

다국어 초록 (Multilingual Abstract)

Benign symmetrical lipomatosis, known as Madelungs disease, is a rare disease characterized by non-encapsulated fat tissue accumulation in a symmetrical manner around the neck, shoulders, and upper extremities, rarely involving the lower limbs and the lower body. To date, there have been approximately 200 cases reported. We experienced two cases of Madelungs disease, 57 and 59 year-old man with neck and shoulder swelling and the symptom of dyspnea. Laryngoscopic and CT scan findings showed severe narrowing of supraglottic and paraglottic area, caused by fat tissue accumulation. The fat tissues were surgically excised, one by external approach and the other by laryngomicrosurgery using LASER under direct laryngoscope, with successful result. We report it with a review of the current literatures. (Korean J Otolaryngol 2006;49:758-62)

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