Roelly P, Roger G, Tashjian G, Garabedian E N
Service d'Otorhinolaryngologie, Hôpital d'Enfants Armand Trousseau, Paris.
Ann Pediatr (Paris). 1992 Oct;39(8):491-4.
Twenty-four cases of cervicofacial lymphangioma treated between 1984 and 1991 are reported. The therapeutic approach is discussed. Because the therapeutic problem depends on whether or not the airways are involved, an endoscopic evaluation and a CT scan study should be included in the workup. In the five patients with limited lymphangiomas, complete surgical exeresis was feasible and yielded good results. Sclerosing injections are an alternative to surgery in this situation. In patients with pharyngeal or laryngeal infiltration or involvement of the mediastinum, the prognosis is extremely grim and surgery is still the mainstay of therapy despite the potential for recurrence due to the fact that only incomplete exeresis can be performed. Tracheostomy was required in two patients.
报告了1984年至1991年间治疗的24例面颈部淋巴管瘤病例。讨论了治疗方法。由于治疗问题取决于气道是否受累，因此在检查中应包括内镜评估和CT扫描研究。在5例局限性淋巴管瘤患者中，完整的手术切除是可行的，且效果良好。在这种情况下，硬化剂注射是手术的替代方法。对于有咽部或喉部浸润或纵隔受累的患者，预后极差，尽管由于只能进行不完全切除可能会复发，但手术仍是主要的治疗方法。两名患者需要进行气管切开术。
