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Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello

ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)
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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
Full text How to cite this article

Language: Spanish
References: 14
Page: 165-171
PDF size: 256.92 Kb.


Key words:

Lymphangioma, cystic, Surgery, Head and Neck Neoplasms.

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.


REFERENCES

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Acta de Otorrinolaringología CCC. 2020;48