[Cervico-facial lymphangiomas. What's the appropriate management?].

Abstract

BACKGROUND:

Cystic hygroma is a benign and uncommon vascular tumor. Therapeutic difficulties are variables and are discussed with regard to different clinical forms. The curative treatment is surgical.

AIM:

The purpose of this study is to discuss the management of the vascular malformation.

PATIENTS AND METHODS:

We present a retrospective study over a period of 11 years (1995- 2005); about 12 patients treated and followed in ENT department of Habib Thameur Hospital of Tunis.

RESULTS:

The average age of the patients was 29 years and the average size of the tumor was 7 cm in diameter. A voluminous cervical mass was noted in 3 cases. Local inflammation with respiratory restriction were observed in one patient. Surgical treatment was performed in 8 cases without recurrences. Injection of sclerosing agent (Ethibloc) was indicated in 4 cases because of the volume of the tumor. The following was marked by reduction of the tumor volume. Surgical excision was completed in one case.

CONCLUSION:

The management of lymphangioma is challenging. Surgical excision is the best treatment in limited forms. The prognosis of voluminous lymphangiomas is transformed by sclerosing injections.

• Authors: Olfa Ben Gamra, Chiraz Mbarek, R Neji, Ch Chammakhi, R Daoued, Ines Hariga, Sarra Zribi, Abdelkader El Khedim
• Journal: La Tunisie medicale (Tunis Med) Vol. 84 Issue 11 Pg. 721-3 (Nov 2006) ISSN: 0041-4131 [Print] Tunisia
• Vernacular Title: Les lymphangiomes kystiques cervicofaciaux. Quelle prise en charge thérapeutique?
• PMID: 17294899 (Publication Type: English Abstract, Journal Article)

Chemical References

• Drug Combinations
• Fatty Acids
• Propylene Glycols
• Sclerosing Solutions
• Diatrizoate
• Zein
• alcoholic prolamine solution

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Diatrizoate (administration & dosage)
• Drug Combinations
• Fatty Acids (administration & dosage)
• Female
• Head and Neck Neoplasms (pathology, surgery, therapy)
• Humans
• Infant
• Injections, Intralesional
• Lymphangioma, Cystic (pathology, surgery, therapy)
• Male
• Middle Aged
• Propylene Glycols (administration & dosage)
• Retrospective Studies
• Sclerosing Solutions (administration & dosage)
• Treatment Outcome
• Zein (administration & dosage)