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儿童和青少年的淋巴管畸形

Lymphatic malformations in children and adolescents.

作者信息

Schoinohoriti Ourania K, Theologie-Lygidakis Nadia, Tzerbos Fotios, Iatrou Ioannis

机构信息

From the Department of Oral and Maxillofacial Surgery, A&P Kyriakou Children's Hospital of Athens, Dental School, University of Athens, Athens, Greece.

出版信息

J Craniofac Surg. 2012 Nov;23(6):1744-7. doi: 10.1097/SCS.0b013e31825e3aac.

DOI:10.1097/SCS.0b013e31825e3aac
PMID:23147296
Abstract

PURPOSE

This article aimed to present a series of surgically treated lymphatic malformations of the cervicofacial region in a population of children and adolescents during a 13-year period.

METHODS

The medical records of all children and adolescents with cervicofacial lymphatic malformations, treated surgically at our department from 1998 to 2011, were reviewed retrospectively.

RESULTS

Eighteen patients with 20 lymphatic malformations located within the soft tissues of the cervicofacial region were identified. All patients were submitted to surgical treatment (excision or resection with conventional scalpel or radiosurgery) to address complications (ulceration, bleeding, impaired mastication and feeding, airway obstruction) and/or aesthetic issues. Recurrence was noted in 2 of our patients.

CONCLUSIONS

Accurate diagnosis based on history, clinical examination, and adequate imaging techniques is the key to the optimal treatment of cervicofacial lymphatic malformations; surgical intervention remains the treatment of choice for these lesions.

摘要

目的

本文旨在介绍13年间一系列接受手术治疗的儿童和青少年颌面部淋巴管畸形病例。

方法

回顾性分析1998年至2011年在我科接受手术治疗的所有颌面部淋巴管畸形儿童和青少年的病历。

结果

共确定18例患者,其20处淋巴管畸形位于颌面部软组织内。所有患者均接受手术治疗(用传统手术刀切除或切除加放射外科手术)以解决并发症(溃疡、出血、咀嚼和进食障碍、气道阻塞)和/或美观问题。我们的患者中有2例出现复发。

结论

基于病史、临床检查和适当的成像技术进行准确诊断是颌面部淋巴管畸形最佳治疗的关键;手术干预仍然是这些病变的首选治疗方法。

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