Multi-disciplinary approach towards lymphangiomas of the head and neck in adults

Sharad B. Bhalekar; Yessukrishna Shetty; Haritosh K. Velankar; Yogesh G. Dabholkar; Laveena P. Mehta; Bhavika S. Verma; Pooja Sancheti

doi:10.18203/2349-2902.isj20160235

Authors

Sharad B. Bhalekar Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Yessukrishna Shetty Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Haritosh K. Velankar Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Yogesh G. Dabholkar Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Laveena P. Mehta Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Bhavika S. Verma Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India
Pooja Sancheti Department of Otorhinolaryngology (ENT), D. Y. Patil University, School of Medicine, Navi Mumbai, India

DOI:

https://doi.org/10.18203/2349-2902.isj20160235

Keywords:

Lymphangioma, Head & neck lymphangioma, Percutaneous sclerotherapy, Adult lymphangioma

Abstract

Background: Lymphangiomas are congenital malformations of lymphatic vessels or certain acquired factors resulting in lymphatic obstruction, lymph fluid retention, lymphangiectasia and proliferation. Two-thirds of all reported cases are present in the head and neck region. Majority of them are often present at birth and diagnosed mostly (90%) before the age of two years. These lesions are rare in adults but may occur as late as the fifth decade of life.

Methods: A prospective study was done on 60 cases of Lymphangiomas of the head and neck in adults. All the cases were subjected to a clinico-pathological & clinico-radiological evaluation involving the otorhinolaryngologists, cytopathologists, interventional radiologist & the patients. The multidisciplinary approach was discussed to outline the management of Lymphangiomas of the head and neck in adults. The clinical data was analyzed by using Statistical Package for Social Sciences (SPSS) version 11.

Results: In our prospective study of 60 adult patients having lymphangiomas of the head and neck region, the age of the patients was ranging from 18 to 53 years with an average mean age of 29.5 yrs. Females & males were almost equally affected as the sex ratio Female : Male was 1.06 : 1.

Conclusions: The choice of treatment of lymphangiomas should be individualized and based on factors such as etiology, age of onset, growth rate, type (capillary/cavernous/cystic), depth, location, potential morbidity & potential surgical complications. The different available treatment modalities can be outlined either as a single modality of treatment or as a combination of two or more modalities in a sequential manner.

Metrics

Metrics Loading ...

References

Ameh EA, Caouette-Laberge L, Jean-Martin L, Paediatric Surgery: A Comprehensive Text for Africa. Lymphangiomas. 2011,;110:648-56.

Okazaki T, Iwatani S, Yanai T, Kobayashi H, Kato Y, Marusasa T, et al. Treatment of lymphangiomas in children: our experience of 128 cases. J Pediatr Surg. 2007;42:386-9.

Vayangankar KS, Velankar HK, Bhalekar S, Shetty A, Patil Y. An Orbital Swelling - Venolymphatic Malformation: A Case Report. International Journal of Scientific Study. 2014;1(6):60-2.

heng JW, Zhou Q, Yang XJ, Wang YA, Fan XD, Zhou GY, et al. Treatment guidelines of lymphatic malformations of the head and neck. Oral Oncology. 2011;47(12):1105-9.

Arnold R, Chaudry G. Diagnostic imaging of vascular anomalies. Clin Plast Surg. 2011;38(1):21-9.

Bloom DC, Perkins JA, Manning SC. Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg. 2004;12:500-4.

Biasotto M, Clozza E, Tirelli G. Facial Cystic Lymphangioma in Adults The Journal of Craniofacial Surgery. 2012;23(4):e331-4.

De Serres LM, Sie KC, Richardson MA. Lymphatic malformations of the head and neck. A proposal for staging. Arch Otolaryngol Head Neck Surg. 1995;121(5):577-82.

Dubois J, Garel L, Abela A, Laberge L, Yazbeck S. Lymphangiomas in children: percutaneous sclerotherapy with an alcoholic solution of zein. Radiology. 1997;204(3):651-4.

Wiegand S, Eivazi B, Zimmermann AP, Sesterhenn AM, Werner JA. Sclerotherapy of lymphangiomas of the head and neck. Head & neck. 2011;33(11):1649-55.