Intra-Jugal Lipoma: Surgical Management Through An Intraoral Approach : A Case Report

Lipomas are benign mesenchymal tumors composed of mature adipocytes. Intraoral localization is uncommon, accounting for only a small proportion of oral cavity tumors. The jugal region represents one of the most frequently affected intraoral sites.
We report the case of a 65-year-old woman presenting with a progressively enlarging left jugal swelling evolving over one year. Clinical examination revealed a soft, painless, well-circumscribed mass with normal overlying mucosa and no functional impairment. Facial computed tomography demonstrated a homogeneous, well-limited lipomatous lesion measuring 30.6 × 35 × 71 mm within the left jugal and masticatory space.
Complete surgical excision was performed through an intraoral approach under general anesthesia. Histopathological examination confirmed the diagnosis of intra-jugal lipoma composed of mature adipocytes without atypia. Postoperative recovery was uneventful, and no recurrence was observed after six months of follow-up.
Intra-jugal lipoma is a rare benign tumor with nonspecific clinical presentation. Imaging plays a key role in diagnosis and surgical planning. Complete intraoral excision provides excellent functional and aesthetic outcomes with a low recurrence rate.