Leboulanger Nicolas, Roger Gilles, Caze Alexandre, Enjolras Odile, Denoyelle Françoise, Garabedian Eréa-Noël
AP-HP, Armand-Trousseau Children Hospital, Pediatric ENT Department, Paris, France.
Int J Pediatr Otorhinolaryngol. 2008 Jul;72(7):953-8. doi: 10.1016/j.ijporl.2008.03.013. Epub 2008 May 2.
Lymphangiomas of the mouth and tongue pose considerable therapeutic problems. Their complete exeresis is not feasible, and they can be a major functional impediment and cause face and jaw deformities. A risk of secondary growth is classically described after surgical reduction. Invasion of lingual mucosa, often papillomatous, results in accidental biting, recurrent bleeding and pain. Here, we report on 7 cases of children with haemorrhagic mucosal lingual lymphangiomas, one with noteworthy drop in the haemoglobin, treated by surface radiofrequency reduction. With a short follow-up (3-13 months), a functional improvement was observed in every case, as a complete disappearance of bleeding in 5/7 cases, and a moderate local relapse in 2/7 cases. This technique did not induce progressive regrowth. It provides a new therapeutic tool for the treatment of lingual microcystic lymphangioma.
口腔和舌部的淋巴管瘤带来了相当大的治疗难题。对它们进行完整切除是不可行的，而且它们可能成为主要的功能障碍，并导致面部和颌骨畸形。传统观点认为，手术切除后存在二次生长的风险。舌黏膜的浸润，通常呈乳头状，会导致意外咬伤、反复出血和疼痛。在此，我们报告7例患有出血性舌黏膜淋巴管瘤的儿童病例，其中1例血红蛋白显著下降，采用表面射频消融术进行治疗。随访时间较短（3 - 13个月），所有病例均观察到功能改善，5/7的病例出血完全消失，2/7的病例有中度局部复发。该技术未引发渐进性再生长。它为舌部微囊性淋巴管瘤的治疗提供了一种新的治疗手段。
