Massive osteolipoma of the skull Daniel Marchac, Eric Arnaud  British Journal of Plastic Surgery  Volume 56, Issue 2, Pages 177-180 (March 2003) DOI: 10.1016/S0007-1226(03)00096-1

Figure 1 Osteolipoma in an 8-year-old male from Central Africa, slow-growing since infancy. Note the displacement of the left ear. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 2 CT-scan shows the bony mass inside the giant tumor adjacent to the left parietal area. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 3 The NMR shows the inner limits clearly; the tumor is external to brain and inner cortical bone. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 4 The lipoma is removed with a wide ellipse of skin (A), calculated to leave enough scalp tissue to allow final closure. The lipoma is exposed (B), and the bone as well (C). British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 5 The irregular bony mass is exposed (A). On the right, one sees the head (B). British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 6 After removal of the excess bone, hemostasis with wax. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 7 Two weeks after surgery: the contour of the head is satisfactory, the ear is close to normal position, and the L-shaped scar is hidden in the scalp. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)

Figure 8 Control CT-scan at 10 days showing that there is still excess thickness in the area of the osteolipoma. The inner cortex is intact. British Journal of Plastic Surgery 2003 56, 177-180DOI: (10.1016/S0007-1226(03)00096-1)