PubMed · 1997 · 53 citations · 0 references
MedicineNeck SurgeryOtolaryngologyOtolaryngologic SurgeryPediatric Head SurgeryPediatric OtolaryngologyCongenital Neck AnomaliesLymphatic MalformationsNeck PathologyPediatric Neck MassesPediatric Otolaryngologic SurgeryCongenital Lymphatic MalformationsNeck Lymphatic MalformationsPediatric Neck Mass SurgeryRetrospective Record ReviewSubmandibular Fossa
Lymphatic malformations (LM) are complex entities. Their development and management remain controversial. A retrospective review of 35 patients treated for lymphatic malformation over a 10-year period (1985-1995) is presented. The demographics of the cases, the method of presentation, treatment modalities, and outcomes are presented. The majority or patients presented at birth, and 83% were treated before the age of 7 years. The most common presentation was an asymptomatic neck mass (74%), of which 54% were in the posterior triangle and 17% were in the submandibular space. The treatment was primarily surgical excision: 22 (63%) patients had total surgical excision, 7 (20%) had partial excision, and 6 (17%) had needle aspiration. A proposal of management is presented.