Cervicofacial Lymphatic Malformations: A Retrospective Review of 40 Cases
Identifieur interne : 007E50 ( Ncbi/Checkpoint ); précédent : 007E49; suivant : 007E51Cervicofacial Lymphatic Malformations: A Retrospective Review of 40 Cases
Auteurs : Byung Chae Cho [Corée du Sud] ; Jae Bong Kim [Corée du Sud] ; Jeong Woo Lee [Corée du Sud] ; Kang Young Choi [Corée du Sud] ; Jung Dug Yang [Corée du Sud] ; Seok-Jong Lee [Corée du Sud] ; Yong-Sun Kim [Corée du Sud] ; Jong Min Lee [Corée du Sud] ; Seung Huh [Corée du Sud] ; Ho Yun Chung [Corée du Sud]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2016.
Abstract
Lymphatic malformation (LM) is a form of congenital vascular malformation with a low incidence. Although LM has been studied, no consensus has emerged regarding its cause or treatment.
In this study, we retrospectively evaluated 40 patients who visited our vascular anomalies center for the treatment of cervicofacial LM, which is a common manifestation of LM. The medical records of patients over a period of 12 years were reviewed and analyzed for commonalities regarding the diagnosis and the results of treatment.
Suspected cervicofacial LM was confirmed through imaging studies. No difference in incidence was observed according to sex, and 73% of patients first presented with symptoms before the age of two years. The left side and the V2–V3 area were most commonly affected. No significant differences in incidence were observed among the macrocystic, microcystic, and combined types of LM. A total of 28 out of 36 patients received sclerotherapy as the first choice of treatment, regardless of the type of lesion. Complete resolution was achieved in only 25% of patients.
LM is important to confirm the diagnosis early and to choose an appropriate treatment strategy according to the stage of the disease and each individual patient's symptoms. When treatment is delayed or an incorrect treatment is administered, patient discomfort increases as the lesion gradually spreads. Therefore, more so than is the case for most other diseases, a team approach on a case-by-case basis is important for the accurate and appropriate treatment of LM.
Url:
DOI: 10.5999/aps.2016.43.1.10
PubMed: 26848440
PubMed Central: 4738111
Affiliations:
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cervicofacial Lymphatic Malformations: A Retrospective Review of 40 Cases</title>
<author><name sortKey="Cho, Byung Chae" sort="Cho, Byung Chae" uniqKey="Cho B" first="Byung Chae" last="Cho">Byung Chae Cho</name>
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<author><name sortKey="Kim, Jae Bong" sort="Kim, Jae Bong" uniqKey="Kim J" first="Jae Bong" last="Kim">Jae Bong Kim</name>
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<author><name sortKey="Choi, Kang Young" sort="Choi, Kang Young" uniqKey="Choi K" first="Kang Young" last="Choi">Kang Young Choi</name>
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<author><name sortKey="Yang, Jung Dug" sort="Yang, Jung Dug" uniqKey="Yang J" first="Jung Dug" last="Yang">Jung Dug Yang</name>
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<author><name sortKey="Kim, Yong Sun" sort="Kim, Yong Sun" uniqKey="Kim Y" first="Yong-Sun" last="Kim">Yong-Sun Kim</name>
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<author><name sortKey="Lee, Jong Min" sort="Lee, Jong Min" uniqKey="Lee J" first="Jong Min" last="Lee">Jong Min Lee</name>
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<author><name sortKey="Huh, Seung" sort="Huh, Seung" uniqKey="Huh S" first="Seung" last="Huh">Seung Huh</name>
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<author><name sortKey="Chung, Ho Yun" sort="Chung, Ho Yun" uniqKey="Chung H" first="Ho Yun" last="Chung">Ho Yun Chung</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
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<series><title level="j">Archives of Plastic Surgery</title>
<idno type="ISSN">2234-6163</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Lymphatic malformation (LM) is a form of congenital vascular malformation with a low incidence. Although LM has been studied, no consensus has emerged regarding its cause or treatment.</p>
</sec>
<sec><title>Methods</title>
<p>In this study, we retrospectively evaluated 40 patients who visited our vascular anomalies center for the treatment of cervicofacial LM, which is a common manifestation of LM. The medical records of patients over a period of 12 years were reviewed and analyzed for commonalities regarding the diagnosis and the results of treatment.</p>
</sec>
<sec><title>Results</title>
<p>Suspected cervicofacial LM was confirmed through imaging studies. No difference in incidence was observed according to sex, and 73% of patients first presented with symptoms before the age of two years. The left side and the V2–V3 area were most commonly affected. No significant differences in incidence were observed among the macrocystic, microcystic, and combined types of LM. A total of 28 out of 36 patients received sclerotherapy as the first choice of treatment, regardless of the type of lesion. Complete resolution was achieved in only 25% of patients.</p>
</sec>
<sec><title>Conclusions</title>
<p>LM is important to confirm the diagnosis early and to choose an appropriate treatment strategy according to the stage of the disease and each individual patient's symptoms. When treatment is delayed or an incorrect treatment is administered, patient discomfort increases as the lesion gradually spreads. Therefore, more so than is the case for most other diseases, a team approach on a case-by-case basis is important for the accurate and appropriate treatment of LM.</p>
</sec>
</div>
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</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Cho, Byung Chae" sort="Cho, Byung Chae" uniqKey="Cho B" first="Byung Chae" last="Cho">Byung Chae Cho</name>
</noRegion>
<name sortKey="Choi, Kang Young" sort="Choi, Kang Young" uniqKey="Choi K" first="Kang Young" last="Choi">Kang Young Choi</name>
<name sortKey="Chung, Ho Yun" sort="Chung, Ho Yun" uniqKey="Chung H" first="Ho Yun" last="Chung">Ho Yun Chung</name>
<name sortKey="Huh, Seung" sort="Huh, Seung" uniqKey="Huh S" first="Seung" last="Huh">Seung Huh</name>
<name sortKey="Kim, Jae Bong" sort="Kim, Jae Bong" uniqKey="Kim J" first="Jae Bong" last="Kim">Jae Bong Kim</name>
<name sortKey="Kim, Yong Sun" sort="Kim, Yong Sun" uniqKey="Kim Y" first="Yong-Sun" last="Kim">Yong-Sun Kim</name>
<name sortKey="Lee, Jeong Woo" sort="Lee, Jeong Woo" uniqKey="Lee J" first="Jeong Woo" last="Lee">Jeong Woo Lee</name>
<name sortKey="Lee, Jong Min" sort="Lee, Jong Min" uniqKey="Lee J" first="Jong Min" last="Lee">Jong Min Lee</name>
<name sortKey="Lee, Seok Jong" sort="Lee, Seok Jong" uniqKey="Lee S" first="Seok-Jong" last="Lee">Seok-Jong Lee</name>
<name sortKey="Yang, Jung Dug" sort="Yang, Jung Dug" uniqKey="Yang J" first="Jung Dug" last="Yang">Jung Dug Yang</name>
</country>
</tree>
</affiliations>
</record>
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