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A single-center experience in the management of head and neck lymphangiomas

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Abstract

Introduction

Lymphangiomas are relatively uncommon head and neck region lymphatic malformations. Although surgery can be still considered the mainstay of treatment, sclerotherapy by OK-432 is becoming a widespread treatment option. The aim of this article is to present and discuss the management and outcomes of a series of cases of lymphangiomas.

Methods

All patients with lymphangiomas who were treated from 2010 to 2018 were reviewed. The following data were recorded: age, gender, subtype, staging, type of treatment, outcome, and recurrence.

Results

Fifteen patients (9 females, 6 males) were included with 2 microcystic and 13 macrocystic lymphangiomas. Six patients underwent surgery with excision (5 with a complete success, one with a fair success), whereas the remaining 9 subjects underwent sclerotherapy by OK-432 (6 with a complete success, 3 with a fair success). No postoperative complications were observed.

Conclusions

All modes of treatment are important in properly selected patients affected by lymphangiomas. OK-432 therapy is a safe and effective option in the treatment of head and neck lymphangiomas.

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References

  1. Balakrishnan K, Perkins J (2012) Management of head and neck lymphatic malformations. Facial Plast Surg 28:596–602

    Article  CAS  Google Scholar 

  2. Efe N, Altas E, Mazlumoglu MR, Aktan B, Ucuncu H, Eren S, Oner F (2016) Excellent result with the use of single-dose OK-432 in cervical macrocystic lymphangioma. J Craniofac Surg 27:1802–1803

    Article  Google Scholar 

  3. Gilony D, Schwartz M, Shpitzer T, Feinmesser R, Kornreich L, Raveh E (2012) Treatment of lymphatic malformations: a more conservative approach. J Pediatr Surg 47:1837–1842

    Article  Google Scholar 

  4. Hamoir M, Plouin-Gaudon I, Rombaux P, Francois G, Cornu AS, Desuter G, Clapuyt P, Debauche C, Verellen G, Beguin C (2001) Lymphatic malformations of the head and neck: a retrospective review and a support for staging. Head Neck 23:326–337

    Article  CAS  Google Scholar 

  5. Lerat J, Mounayer C, Scomparin A, Orsel S, Bessede JP, Aubry K (2016) Head and neck lymphatic malformation and treatment: clinical study of 23 cases. Eur Ann Otorhinolaryngol Head Neck Dis 133:393–396

    Article  CAS  Google Scholar 

  6. Mitsukawa N, Satoh K (2012) New treatment for cystic lymphangiomas of the face and neck: cyst wall rupture and cyst aspiration combined with sclerotherapy. J Craniofac Surg. 23:1117–1119

    Article  Google Scholar 

  7. Ohta N, Fukase S, Watanabe T, Ito T, Aoyagi M (2010) Effects and mechanism of OK-432 therapy in various neck cystic lesions. Acta Otolaryngol 130:1287–1292

    Article  CAS  Google Scholar 

  8. Golinelli G, Toso A, Borello G, Aluffi P, Pia F (2015) Percutaneous sclerotherapy with OK-432 of a cervicomediastinal lymphangioma. Ann Thorac Surg 100:1879–1881

    Article  Google Scholar 

Download references

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Correspondence to Paolo Boffano.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Aluffi Valletti, P., Brucoli, M., Boffano, P. et al. A single-center experience in the management of head and neck lymphangiomas. Oral Maxillofac Surg 24, 109–115 (2020). https://doi.org/10.1007/s10006-020-00832-z

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  • DOI: https://doi.org/10.1007/s10006-020-00832-z

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