{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T23:42:57Z","timestamp":1787096577960,"version":"build-2736575974"},"reference-count":12,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,11,27]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Lipomas are benign tumours of mesenchymal origin, representing one of the most common tumours of the body. They are often observed between the fourth and the sixth decade of life and in 13% of the cases they occur in the head and neck region. In case of symptoms, surgical removal is the treatment of choice; when the formation involves the temporal region, the surgical approach is often challenging due to the presence of the neurovascular structures, such as the temporalis branch of the facial nerve and their potential extension to the nearby structures under the zygomatic arch to either the infratemporal fossa or the buccal region. Recurrence can occur frequently only if there is incomplete removal of lipoma. In this paper, the authors discuss surgical pitfalls of a very rare case of a large-sized symptomatic lipoma extended to the infratemporal and pterygomaxillary fossa, surgically removed via trans-zygomatic hemicoronal approach.<\/jats:p>","DOI":"10.1136\/bcr-2021-245465","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T11:33:43Z","timestamp":1644233623000},"page":"e245465","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Intramuscular lipoma of the temporalis muscle extending to the infratemporal fossa: surgical pitfalls and short literature review"],"prefix":"10.1136","volume":"15","author":[{"given":"Paolo","family":"Gennaro","sequence":"first","affiliation":[{"name":"Department of Maxillo-Facial Surgery, University of Siena Faculty of Medicine and Surgery, Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Department of Maxillo-Facial Surgery, University of Siena Faculty of Medicine and Surgery, Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Cascino","sequence":"additional","affiliation":[{"name":"Department of Maxillo-Facial Surgery, Azienda Ospedaliera Universitaria Senese, Siena, Toscana, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1028-7493","authenticated-orcid":false,"given":"Guido","family":"Gabriele","sequence":"additional","affiliation":[{"name":"Department of Maxillo-Facial Surgery, University of Siena Faculty of Medicine and Surgery, Siena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"2025082700070088000_15.2.e245465.1","doi-asserted-by":"crossref","DOI":"10.4103\/2231-0746.83147","article-title":"Lipoma involving the masticator space","volume":"1","author":"Navaneetham","year":"2011","journal-title":"Ann Maxillofac Surg"},{"key":"2025082700070088000_15.2.e245465.2","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1007\/s00405-014-3065-8","article-title":"Lipomatous tumours of the head and neck: a spectrum of biological behaviour","volume":"272","author":"de Bree","year":"2015","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082700070088000_15.2.e245465.3","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2021.105885","article-title":"Giant intramuscular thigh lipoma: a case report and review of literature","volume":"82","author":"Morales Morales","year":"2021","journal-title":"Int J Surg Case Rep"},{"key":"2025082700070088000_15.2.e245465.4","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/00003086-200004000-00024","article-title":"Liposarcoma associated with multiple intramuscular lipomas. 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Anatomy, Head and Neck, Infratemporal Fossa [Internet]. StatPearls. StatPearls Publishing, 2021. 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