Laryngo- rhino- otologie · 1996
[Therapy of cystic lymphangioma in childhood. Report of 4 cases with manifestations in the area of the head-neck].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Deitmer T
Аннотация
BACKGROUND: Lymphangiomas are localized in the head and neck area in about 75% of cases. About 75% of these cases are children less than one year old. Treating lymphangiomas with installation therapy to obliterate the cysts has been discussed, but surgery remains the treatment of choice.
PATIENTS: Two lymphangiomas in newborns required resection due to the size of the lesions. The surgery involved monitoring of the facial and hypoglossal nerves. A third child had a large lesion with infiltration into the supraglottic space and the tongue requiring a tracheotomy. In a four-and-one-half-year-old child, a parapharyngeal lymphangioma caused stridor and had to be incised before it could be completely excised through an intraoral and extraoral approach.
RESULTS: Lymphangiomas can be excised safely even in newborns.
CONCLUSIONS: The use of neurologic monitoring is recommended for surgery of lymphangiomas in children since these lesions conceal neurovascular structures making them difficult to identify.
PATIENTS: Two lymphangiomas in newborns required resection due to the size of the lesions. The surgery involved monitoring of the facial and hypoglossal nerves. A third child had a large lesion with infiltration into the supraglottic space and the tongue requiring a tracheotomy. In a four-and-one-half-year-old child, a parapharyngeal lymphangioma caused stridor and had to be incised before it could be completely excised through an intraoral and extraoral approach.
RESULTS: Lymphangiomas can be excised safely even in newborns.
CONCLUSIONS: The use of neurologic monitoring is recommended for surgery of lymphangiomas in children since these lesions conceal neurovascular structures making them difficult to identify.