2020, Number 2
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Acta de Otorrinolaringología CCC 2020; 48 (2)
Surgical treatment for lymphatic malformations in children
Oré AJF; La Torre CLM; Urteaga QRJ
Language: Spanish
References: 14
Page: 165-171
PDF size: 256.92 Kb.
ABSTRACT
Introduction: Cystic lymphomas are malformations of the lymphatic ducts, which
form cavities with lymphatic fluid.
Objective: To determine the clinical characteristics,
evolution and prognosis of patients undergoing surgery due to lymphatic
malformations located in the head and neck.
Design: Case series
Methods: The
medical records of patients who underwent a lymphatic malformation resection at
The Head, Neck and Maxillofacial Surgery Unit, who had a pathological analysis
compatible with lymphatic malformations, during the period from January 2008 to
January 2017.
Results: We found 254 cases that required surgery, with a median age
of 1 year and an average of 2.9 years. The cervical region had the highest presentation
(77.6%) specifically in the unilateral supra and infrahyoid location (30.3%).
The appearance of a tumor was the most frequent sign (98.8%). 5.9% of recurrences
were found for surgical treatment and 8.2% of cases with paresis or paralysis of the
submandibular nerve as sequelae. 10 cases required tracheostomy and 3 patients
died due to complications after surgery.
Conclusions: Surgical treatment is indicated
for cystic lymphangiomas. It minimizes morbidity and prevents recurrences.
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