Management of cystic hygroma of the head and neck in Lagos, Nigeria; a 10-year experience.
Management of cystic hygroma in 25 children as practised in Lagos, Nigeria during 1980 through 1989 was studied. Thirteen (52%) were infants out of which 7 were newborns. Thirty-three operations were performed including those for recurrences. There were 29 excisions out of which 22 (76%) were one-stage complete excisions. Complications included 4 cases of facial paresis, 6 recurrences and respiratory obstruction which led to death in 5 newborns, the only deaths in the series, and an operative mortality of 20.8%. A striking feature of this study is the observation that some recurrences occurred at sites which were normal at the initial or previous excision. Such recurrences led to 4 surgical operations at different times in one child. The term 'Progressive Infilterating cystic Hygroma' (PICH) is being suggested to distinguish this type from the ordinary cystic hygroma.
Adeyemi
S D
SD
Department of Surgery, College of Medicine, Lagos, Nigeria.
D000402:Airway Obstruction / Q000209:etiology; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008202:Lymphangioma / Q000473:pathology / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D009549:Nigeria; D011183:Postoperative Complications