[Therapy of cystic lymphangioma in childhood. Report of 4 cases with manifestations in the area of the head-neck].
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.


METHODS
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.
Deitmer
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Klinik und Poliklinik Für Hals-Nasen-Ohren-Heilkunde der Westfälischen Wilhelms-Universität Münster.
D002675:Child, Preschool; D005153:Facial Neoplasms / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D018191:Lymphangioma, Cystic / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D008297:Male; D016343:Monitoring, Intraoperative; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D012086:Reoperation
Die Therapie zystischer Lymphangiome im Kindesalter. Bericht über 4 Fälle mit Manifestation im Gesichts-Hals-Bereich.