title: Lymphangiomatous macroglossia associated with extensive cervicomediastinal cystic hygromas.
abstract: Children with lymphangiomatous macroglossia often have difficulty eating and talking, and their airways may be compromised because of bleeding and infection, especially when extensive cervicomediastinal cystic hygromas are present. We report a case of lymphangiomatous macroglossia associated with extensive cystic hygromas in the cervicomediastinal region. The 3-year-old girl was treated with anterior wedge reduction of the tongue, needle aspiration of the cervicomediastinal cystic hygromas, and systemic steroids and antibiotics. The extensive cystic cervicomediastinal hygromas spontaneously regressed, and further surgery was not needed until 4 years later. Surprisingly, subtotal or partial lymphatic malformation removal improved the complicated lymphatic malformation.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
authors.forename: Li-Hsiang
authors.initials: LH
authors.lastname: Cheng
authors.forename: Jih-Chin
authors.initials: JC
authors.lastname: Lee
authors.forename: Chuan-Hsiang
authors.initials: CH
authors.lastname: Kao
authors.forename: Zheng-Ping
authors.initials: ZP
authors.lastname: Shi
authors.forename: Yaoh-Shiang
authors.initials: YS
authors.lastname: Lin
mesh_terms: D002675:Child, Preschool; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D008202:Lymphangioma / Q000150:complications*; D018191:Lymphangioma, Cystic / Q000150:complications* / Q000601:surgery; D008260:Macroglossia / Q000150:complications* / Q000628:therapy; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000601:surgery; D014062:Tongue Neoplasms / Q000150:complications*
keywords: cystic hygromas; lymphatic malformation; macroglossia