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Classification specific lymphatic malformations management on head and neck in children

  • Yang Jiang
    Affiliations
    Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
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  • Ying Liu
    Affiliations
    Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
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  • Xingang Wang
    Affiliations
    Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
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  • Zhuo Chen
    Affiliations
    Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
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  • Wenyuan Shi
    Correspondence
    Wenyuan Shi, MD, Department of Ultrasound, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China, 100045
    Affiliations
    Department of Ultrasound, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China, 100045
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  • Guoxia Yu
    Correspondence
    Corresponding Author: Guoxia Yu, DDS, PhD Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
    Affiliations
    Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), Beijing, China, 100045
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Published:September 08, 2022DOI:https://doi.org/10.1016/j.oooo.2022.09.001

      Abstract

      Objective

      The aim is to retrospectively analyze outcomes from surgical and non-surgical treatments for head and neck lymphatic malformations (LMs) in children.

      Study Design

      58 patients were divided into surgical group (22) and non-surgical group (36). The surgical group contains microcystic LMs in the tongue treated by surgery or with sclerotherapy. The non-surgical group contains macrocystic and mixed LMs in floor of the mouth, neck, face, submandibular, maxillofacial and neck treated by sclerotherapy or with microwave ablation (MWA).

      Results

      In the surgical group, the mean follow-up time is 44 ± 15.3 months. At last follow-up, 15 LMs (68.2%) are completely controlled, 3 LMs (13.6%) are stable without need for further treatment, and 4 LMs (18.2%) are persistent. In the non-surgical group, the median follow-up time is 23.5 months (13.0, 32.8). At last follow-up, 28 LMs (77.8%,) have a volume reduction rate of more than 50%, and 6 LMs (16.7%.) have the complication.

      Conclusions

      Surgery is suitable for microcystic LMs in the early stage with clear boundary, and becomes limited for them in the late stages due to diffuse lesions. Sclerotherapy is effective for macrocystic and mixed LMs. Sclerotherapy with MWA is exceptionally effective for large cystic LMs with multiple compartments.

      Keywords

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