Multidisciplinary Approach to the Management of Lymphatic Malformations of the Head and Neck

Waner, Milton; O, Teresa M.

doi:10.1016/j.otc.2017.09.012

Cited by 32 publications

(43 citation statements)

References 39 publications

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“…It is not only crucial to choose the optimal treatment method for vascular anomalies, but also to find an appropriate age for initiation of treatment. It is important to realize that not all vascular anomalies respond the treatment [9]. Moreover, they don't require treatment in all cases.…”

Section: Discussionmentioning

confidence: 99%

“…These data correlate with the results of our study: 53.8% cases of head and neck LMs were diagnosed in newborns, 6.4% of them required intubation and/or tracheostomy. Once a tracheotomy has been performed, it is common to wait until the airway is large enough to compensate for the initial cause of the obstruction This process may take many ears and it is common for children to need tracheostomy tube until the teenage years and sometimes ever longer [9]. For this reason, we performed partial resection and additional sclerotherapy in newborns in order to make decannulation procedure possible in early period.…”

Section: Discussionmentioning

confidence: 99%

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Vascular Anomalies in Newborns: Clinical Presentation, Complications, and Peculiarities of Therapy

et al. 2020

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The aim: To analyze cases of vascular anomalies in newborns retrospectively to study their main clinical signs and to determine indications for urgent treatment. Materials and methods: A retrospective review of 281 pediatric vascular anomalies diagnosed between 2011 and 2019 was performed. The results of clinical examination, prenatal history, laboratory, sonography, and radiological data were evaluated. Results: Clinical manifestations in the newborn period documented in 170 (60.5%) patients, anomalies were visualized prenatally in 8.9% cases. Five newborns with head and neck LMs required urgent treatment, which amounted 7.9% of all newborns with LMs. The indication for urgent surgery was acute respiratory failure. Partial malformation resection with tracheostomy was performed to those patients, along with intraoperative injection of sclerotherapeutic agents and argon coagulation of residual malformation tissues. EXIT procedure was performed in one case. No correlation (p=0.2) was found between the number of skin lesions and the severity of liver lesions in children with multifocal hepatic hemangiomas, congestive cardiac failure suddenly occurs in one patient in the third week of life. Two newborns with diffuse hepatic hamangioma were manifested right after the birth with clinical signs of liver failure, hypothyreosis, and cardiac failure. Short courses of corticosteroids performed in 7 patients with KHE and Kasabach-Merritte fenomemn for thrombocytopenia correction. Conclusions: Clinical signs of vascular anomalies in neonatal period were seen in 57.5% children with vascular anomalies, and only 2.9% of them required treatment. Treatment itself is advantageous only in cases when life-threatening complications develop, such as airways obstruction, cardiac and/or liver failure, thrombocytopenia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vascular Anomalies in Newborns: Clinical Presentation, Complications, and Peculiarities of Therapy

et al. 2020

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“…12 The principal aim in the treatment of the lymphangiomas is the restoration or preservation of functional and aesthetic integrity, 13 and thus, a specialized multidisciplinary team should undertake their management. 14 Perkins et al, 13 in a paper published in 2010, described a treatment decision-making algorithm, based on 5 different stages of lymphangiomas. They advocate that small-sized asymptomatic lymphangiomas do not necessarily require treatment 13 and they could benefit from conservative management and follow-ups, as they may even spontaneously be shrunk.…”

Section: Discussionmentioning

confidence: 99%

“…In general, surgical intervention was the most commonly suggested treatment, but the high recurrence rates led to further research for identifying if there is a specific pattern why the recurrence occurs and also for discovering alternative approaches. 14 Other treatment modalities have been applied such as aspiration, sclerosing agent injection (bleomycin, OK-432, dextrose, ethibloc, tetracycline, and doxycycline 6,16 ), radiotherapy, nonablative laser, light treatments (pulsed dye laser and intense pulsed light), full-field carbon dioxide (CO 2 ) laser ablation 17 in superficial mucosal microcystic lesions, 18 and even combined treatments.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Neck Lymphangioma in a Young Adult: Twenty-Three Years After Successful Treatment

Kotsis

Exarchos

Metaxa

et al. 2018

Vasc Endovascular Surg

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Lymphangiomas are rare benign malformations of the lymphatic system, commonly present in children, over the head and neck area. Occasionally, they can grow significantly in size and especially those located over the cervical region can cause airway obstruction and become life-threatening. Recurrent lymphangiomas usually occur during the early postsurgical period and 80% of them within the first 3 to 5 years. However, in a new onset of clinical manifestations affecting the head and neck, even many years after the successful surgical treatment, a recurrent lymphangioma should be considered in the differential diagnosis. We present herein the second reported case, to our knowledge, of a recurrent left-sided neck lymphangioma in a young man, 23 years after a successful surgical treatment that initially took place 6 weeks after his birth.

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“…Treatment is individualized and should be delivered by an experienced multidisciplinary care team . Given the potential for cosmetic deformity and encroachment on vital structures, it is essential that management is determined without delay.…”

Section: Managementmentioning

confidence: 99%

American Thoracic Society 2019 Pediatric Core Curriculum

Moore

Boyer

Perkins

et al. 2019

Pediatric Pulmonology

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The American Thoracic Society Pediatric Core Curriculum updates clinicians annually in pediatric pulmonary disease in a 3 to 4 year recurring cycle of topics. The 2019 course was presented in May during the Annual International Conference. An American Board of Pediatrics Maintenance of Certification module and a continuing medical education exercise covering the contents of the Core Curriculum can be accessed online at http://www.thoracic.org.

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Multidisciplinary Approach to the Management of Lymphatic Malformations of the Head and Neck

Cited by 32 publications

References 39 publications

Vascular Anomalies in Newborns: Clinical Presentation, Complications, and Peculiarities of Therapy

Vascular Anomalies in Newborns: Clinical Presentation, Complications, and Peculiarities of Therapy

Recurrent Neck Lymphangioma in a Young Adult: Twenty-Three Years After Successful Treatment

American Thoracic Society 2019 Pediatric Core Curriculum

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