Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 25 mai 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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LAUNOIS-BENSAUDE SYNDROME AND THE ROLE OF CERVICOFACIAL SURGERY
Daniela Trandafir, D. Gogălniceanu, Violeta Trandafir,
Eugenia Popescu, V.V. Costan, Carmen Vicol
Department of Oral and Maxillo-Facial Surgery
„St. Spiridon” Hospital Iaşi
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2009; 5 (4): 359-364
Full text:
Format PDF (Română/Romanian)

Abstract:

Launois-Bensaude syndrome is a rare proliferative disorder of the adipose tissue with onset in adulthood. The disease is characterized by symmetrical fat deposits, predominantly in the neck and shoulder area, upper back and arms. There is a strong association between this disease and moderate to heavy alcohol consumption. During a recent 16 years period (1992-2007), 19 patients with Launois-Bensaude syndrome were treated in our department. A retrospective study had noted: clinical type of disease, the major complaints, biological disorders, radiological features, the associated diseases and the long-term outcomes after lipectomy. In all cases, the adipose deposits were removed by a traditional surgical technique, under intubation anesthesia. The group comprised 19 men aged 35 and 64 years old (median 47 years old). Alcoholism was confirmed in 17 cases. 13 of 19 patients were type I of disease’s clinical classification (Donhauser) and 6 were type II. The most common complaints were: aesthetics (15 cases), respiration disorders (2 cases), and reduced range of movement of the head (2 cases). The diagnosis was established from the clinical picture, but computed tomography and magnetic resonance imaging were of really help, especially in considerable cervical deformity and in deep localization of the fatty masses. We noted the following accompanying diseases: diabetes mellitus (4 cases), glucose impairment tolerance (2 cases), obesity (6 cases), hypertension (10 cases), gout (1 case), dislipidemic syndrome (10 cases), liver steatosis (8 cases), neuropathies (8 cases). The functional and aesthetic results were good in all patients and recurrence was not observed after 4 years of follow-up. There were no serious complications. Our long-term experience with the treatment of benign symmetric lipomatosis indicates that a lasting result can be only obtained after sufficiently radical surgery.

KEY WORDS: LAUNOIS-BENSAUDE SYNDROME, BENIGN SYMMETRIC LIPOMATOSIS, ALCOHOLISM

Correspondence to: Daniela Trandafir, MD, PhD; Department of Oral and Maxillo-Facial Surgery, „St. Spiridon” Hospital Iaşi, Independenţei Street, No 1, 700111, Iaşi; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.