Malformación linfática facial mixta: Caso clínico
| Autor: | Carmen Gloria Morovic I, Claudia Vidal T, Sebastián Véliz M, Noemí Leiva V |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2014 |
| Předmět: |
Lymphatic Vessel Tumors
medicine.medical_specialty tumor medicine.diagnostic_test malformación linfática business.industry Linfagioma medicine.medical_treatment Vascular malformation medicine.disease Surgery Lesion Lymphatic system escleroterapia Pediatrics Perinatology and Child Health Biopsy Lymphangioma Sclerotherapy Medicine vasos linfáticos medicine.symptom Head and neck business |
| Zdroj: | Revista chilena de pediatría v.85 n.6 2014 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | mixed facial lymphatic malformation - Case report Lymphangiomas are a common form of vascular malformation of the lymphatic vessels, mainly in the head and neck region. Most cases are progressive evolution and require a multidisciplinary approach. Currently, the first therapeutic option is sclerotherapy, leaving surgery for the treatment of remaining lesions. objective: To present a case of facial lymphatic malformation (LM) treated with sclerotherapy, surgery and orthodontics in a 15-year follow up. Case report: A one-year-old female patient who consulted health professionals due to a progressive volume increase of the soft parts of her right cheek. The imaging study confirmed the diagnosis of microcystic lymphatic malformation. It was managed with OK-432 sclerotherapy and Bleomycin. At 2 years of age, the patient response was considered adequate; an intralesional submandibular surgical excision was then performed, with partial resection of the lesion. The biopsy confirmed the diagnosis of microcystic LM. Six months after, a re-resection was planned using the same approach and removing the remaining lesion, with favorable development until the age of 9 years when the patient required surgery and orthodontic management due to intraoral recurrence. No major developments until the age of 13 when a new orthodontic surgery and handling are planned to perform right oral commissure suspension. Conclusion: LM management by sclerotherapy, surgery, and orthodontics has shown the advantages of a multidisciplinary long-term treatment in this case. (Key words: Lymphangioma, lymphatic malformation, lymphatic vessel tumors, sclerotherapy). Rev Chil Pediatr 2014; 85 (6): 714-719 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|