Treatment of cystic hygroma in a young infant through multidisciplinary approach involving sirolimus, sclerotherapy, and debulking surgery

Abstract

Cystic hygromas are macrocystic lymphatic malformations that develop during the sixth gestational week.1,2 Cystic hygromas (CH) mostly present in the neck and comprise 20% to 25% of cervical lymphatic tumors. Mainstay treatment of CH involves complete surgical resection and sclerotherapy. Sclerotherapy has been consistently chosen over the other modalities. Oosthuizen et al3 reported a management algorithm that incorporated sclerotherapy and surgery in the management of cervicofacial lymphatic malformation.