François M, Le Guillou C, Depondt J, Aboucaya J P, Contencin P, Narcy P
Ann Otolaryngol Chir Cervicofac. 1986;103(2):113-7.
Of 41 children, 22 girls and 19 boys, with cervicofacial lymphangioma, 31 had congenital lymphangiomas, 30 lymphangiomas with cervical expression but only 9 were restricted to the neck region. Operation in 35 children showed that in 12 cases the lymphangioma was limited in extent and failed to extend to the neck or parotidojugular region, and excision was complete and there were no recurrences. Partial excision was performed in 23 children in whom the lymphangioma extended to various degrees into the tongue, pharynx or larynx, and tracheotomy was necessary in 10 of these cases. Several operations, and particularly endoscopic resections, are often necessary in this type of dysembryoplasia in order to obtain a sufficient airway. Esthetic results are often disappointing.
41例患有头颈部淋巴管瘤的儿童中,22例为女孩,19例为男孩,其中31例为先天性淋巴管瘤,30例淋巴管瘤有颈部表现,但仅9例局限于颈部区域。35例患儿接受手术,其中12例淋巴管瘤范围局限,未累及颈部或腮腺-颈静脉区域,切除完整,无复发。23例患儿淋巴管瘤不同程度地延伸至舌、咽、喉,对其进行了部分切除,其中10例需要行气管切开术。对于这类胚胎发育异常,通常需要多次手术,尤其是内镜下切除,以确保足够的气道。美容效果往往令人失望。