Utility of radiofrequency ablation for haemorrhagic lingual lymphangioma.
Lymphangiomas of the mouth and tongue pose considerable therapeutic problems. Their complete exeresis is not feasible, and they can be a major functional impediment and cause face and jaw deformities. A risk of secondary growth is classically described after surgical reduction. Invasion of lingual mucosa, often papillomatous, results in accidental biting, recurrent bleeding and pain. Here, we report on 7 cases of children with haemorrhagic mucosal lingual lymphangiomas, one with noteworthy drop in the haemoglobin, treated by surface radiofrequency reduction. With a short follow-up (3-13 months), a functional improvement was observed in every case, as a complete disappearance of bleeding in 5/7 cases, and a moderate local relapse in 2/7 cases. This technique did not induce progressive regrowth. It provides a new therapeutic tool for the treatment of lingual microcystic lymphangioma.
Leboulanger
Nicolas
N
AP-HP, Armand-Trousseau Children Hospital, Pediatric ENT Department, Paris, France. nicolas.leboulanger@trs.aphp.fr
Roger
Gilles
G
Caze
Alexandre
A
Enjolras
Odile
O
Denoyelle
Françoise
F
Garabedian
Eréa-Noël
EN
D000293:Adolescent; D017115:Catheter Ablation; D002648:Child; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007223:Infant; D008202:Lymphangioma / Q000150:complications / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D008297:Male; D014062:Tongue Neoplasms / Q000151:congenital / Q000473:pathology / Q000601:surgery*