title: Transoral Sclerotherapy for Deep Space Cervical Lymphatic Malformations in Children With Acute Airway Compromise.
abstract: BACKGROUND
  Cervical lymphatic malformations in children rarely present with acute airway compromise. During an acute exacerbation or hemorrhage, lymphatic malformations involving the deep neck spaces may precipitate critical airway obstruction. These are rare clinical entities and tracheotomy is the standard procedure to bypass impending airway obstruction.
  
  
  METHODS
  We present our recent experience with 2 children presenting with acute airway compromise resulting from deep space cervical lymphatic malformations and describe our technique and success with transoral sclerotherapy.
  
  
  RESULTS
  Direct laryngoscopy-assisted transoral sclerotherapy with doxycycline may be considered an alternative to tracheotomy to address retropharyngeal and parapharyngeal space lymphatic malformations.
  
  
  CONCLUSIONS
  Direct laryngoscopy-assisted transoral sclerotherapy is an excellent treatment option for children with deep space cervical lymphatic malformations with airway compromise. It is effective, provides direct access, and can be an alternative to a tracheotomy.
authors.affiliation: Pediatric Otolaryngology, Cohen Children's Medical Center, New Hyde Park, NY, USA Department of Otolaryngology-Head and Neck Surgery, Hofstra North Shore-LIJ School of Medicine, Hempstead, NY, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Cheng
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Hofstra North Shore-LIJ School of Medicine, Hempstead, NY, USA Department of Otolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA mijin.yoo@gmail.com.
authors.forename: Mi Jin
authors.initials: MJ
authors.lastname: Yoo
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007828:Laryngoscopy / Q000379:methods; D044148:Lymphatic Abnormalities / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D042601:Lymphatic Vessels / Q000002:abnormalities; D008279:Magnetic Resonance Imaging; D008297:Male; D009333:Neck / Q000473:pathology*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D012597:Sclerosing Solutions / Q000627:therapeutic use; D015911:Sclerotherapy / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D012597:Sclerosing Solutions
keywords: airway disorders; pediatric airway; pediatric otolaryngology; tracheotomy; upper airway obstruction