- Orvidas LJ, Kasperbauer JL (Mayo Clinic and Found, Rochester, Minn)
Pediatric Lymphangiomas of the Head and Neck
Ann Otol Rhinol Laryngol 109: 411-421, 2000
Medical records of 67 patients ranging in age from birth to 18 years were reviewed retrospectively for size, and localization of lesions, diagnosis, treatment, recurrence, complications and outcome.
Conclusion : Patients with lymphangiomas diagnosed at birth should undergo karyotype analysis. A higher number of sites of involvement increases the probability of recurrent disease and the number of surgeries. Cosmesis was an important criteria in management of these lesions.
Lesions that involved the hypopharynx or larynx and the tongue and floor of the mouth are related to high rates of recurrent or persistent disease.
Early interventions are recommended because of the tendency for these lesions to grow and invade surrounding structures.
According to R. A. Otto, it is an excellent review of the literature.