Imaging Sci Dent.  2012 Sep;42(3):191-195. 10.5624/isd.2012.42.3.191.

Lipomatosis: a diverse form of hemifacial hyperplasia

• Arora PC
• Umarji HR
• Arora A
• Ramaswami

• KMID: 2167438
• DOI: http://doi.org/10.5624/isd.2012.42.3.191

Abstract

A case of hemifacial hyperplasia that presented with muscular, skeletal, and dental hyperplasia along with lipomatous infiltration was described. Advanced imaging was useful in identifying the lipomatous infiltration present in the lesion, which raises the possibility of lipomatosis having a diverse presentation in hemifacial hyperplasia. As there was a scarcity of related literature in the field of dentomaxillofacial radiology, this report would make us familiar with its computed tomographic and magnetic resonance image findings.

Keyword

Hemifacial Myohyperplasia; Lipomatosis; Facial Asymmetry

MeSH Terms

Face
Facial Asymmetry
Hyperplasia
Lipomatosis
Magnetic Resonance Spectroscopy
Face
Facial Asymmetry
Hyperplasia

Figure

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  Fig. 1 Facial photograph shows the asymmetrical enlargement of the right side of the face.

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  Fig. 2 Intraoral photograph shows the precocious eruption of teeth and enlarged tongue papillae on the right side.

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  Fig. 3 Panoramic radiograph shows the premature eruption and accelerated root formation of teeth on the right side.

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  Fig. 4 Coronal (A) and axial (B) MR images show a well-encapsulated mass which appears bright on a T1 weighted image.

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  Fig. 5 Coronal (A) and axial (B) CT images (bone window and soft tissue window) show the enlargement of the pterygoid plates on the right side and the enlargement on the right side.

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  Fig. 6 Contrast enhanced coronal (A) and axial (B) CT images show a well-defined lesion with enhancing septae.

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