Excision of a giant lipoma in the neck region under ultrasound-guided cervical plexus block: a case report

Mümtaz Taner Torun, Fethi Akyol, Ender Seçkin


Lipomas are slow-growing benign soft-tissue tumors which are typically asymptomatic. The ultrasound-guided cervical plexus block (UGCPB) is a feasible, effective and safe method for ear, neck (especially thyroid operations and carotid endarterectomy) and clavicular region surgery. It can be used in cases with a high risk for general anesthesia. A case of a giant neck lipoma excised using UGCPB is reviewed in this paper. A 56-year-old male patient presented to our clinic with a giant mass 11x10 cm in size in the right neck region. A mobile, smooth surfaced and painless lump was detected. The mass was preoperatively reported as a lipoma. The patient had a high cardiovascular risk for general anesthesia. The mass was too large for excision with infiltration anesthesia, so we decided to perform UGCPB. UGCPB can be used with patients with a high general anesthesia risk.  The type of CPB can be selected depending on the region to be operated in order to avoid complications. We operated using intermediate UGCPB. This technique is feasible, effective and comfortable. It is also more reliable than general anesthesia.


Ultrasound-guided cervical plexus block, General anesthesia, Lipoma, Neck surgery

Full Text:



Copcu E, Sivrioglu N. Posterior cervical giant lipomas. Plastic and Reconstructive Surgery. 2005;115(7):2156–7.

Herring AA, Stone MB, Frenkel O, Chipman A, Nagdev AD. The ultrasound-guided superficial cervical plexus block for anesthesia and analgesia in emergency care settings. Am J Emerg Med. 2012;30(7):1263-7.

Perisanidis C, Saranteas T, Kostopanagiotou G. Ultrasound-guided combined intermediate and deep cervical plexus nerve block for regional anaesthesia in oral and maxillofacial surgery. Dentomaxillofac Radiol. 2013;42(2):29945724.

Basmaci M, Hasturk AE. Giant Occipitocervical Lipomas: Evaluation with Two Cases. J Cutan Aesthet Surg. 2012;5(3):207–9.

Ali QE, Siddiqui A, Amir SH, Azhar AZ, Ali K. Airtraq optical laryngoscope for tracheal intubation in a patient with giant lipoma at the nape: a case report. Rev Bras Anestesiol. 2012;62:736–740.

Musa AA, Adebayo SB, Banjo AA, Oyewole EA, Olateju SO. Emergency partial thyroidectomy under cervical block to relieve severe acute airway obstruction from thyroid cancer. Afr Health Sci. 2008;8(3):186-9.

Marhofer P, Harrop-Griffiths W, Kettner SC, Kirchmair L. Fifteen years of ultrasound guidance in regional anaesthesia: part 1. Br J Anaesth. 2010;104:538–46.

Saranteas T, Kostopanagiotou GG, Anagnostopoulou S, Mourouzis K, Sidiropoulou T. A simple method for blocking the deep cervical nerve plexus using an ultrasound-guided technique. Anaesth Intensive Care 2011;39:971–2.

Markovic D, Vlajkovic G, Sindjelic R, Markovic D, Ladjevic N, Kalezic N. Cervical plexus block versus general anesthesia in carotid surgery: single center experience. Arch Med Sci 2012;8(6):1035-40.