Thompson D M, Kasperbauer J L
Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota.
J Natl Med Assoc. 1994 Aug;86(8):629-32.
Cystic hygroma is a benign, painless, soft, compressible malformation of the lymphatic system. The head and neck region is the most common place of presentation. These lesions most commonly present shortly after birth with 40% presenting in the newborn period. With the increased use of prenatal ultrasonography, cystic hygromas are being diagnosed in the antenatal period; thus, appropriate measures to secure the airway of the infant can be prearranged prior to birth. This article reports a case where a multispecialty approach was undertaken to assure the survival of an infant born with a large cervical cystic hygroma with laryngeal and base tongue involvement by the tumor. This article also reviews the incidence of laryngeal involvement of cystic hygromas and airway management in the acute period and long term.
囊状水瘤是一种良性、无痛、柔软、可压缩的淋巴系统畸形。头颈部是最常见的发病部位。这些病变最常在出生后不久出现，40%在新生儿期出现。随着产前超声检查的使用增加，囊状水瘤在产前被诊断出来；因此，可以在出生前预先安排确保婴儿气道安全的适当措施。本文报告了一例采用多学科方法确保一名患有巨大颈部囊状水瘤且肿瘤累及喉部和舌根的婴儿存活的病例。本文还回顾了囊状水瘤累及喉部的发生率以及急性期和长期的气道管理。
