Lymphatic Malformations Involving the Parotid Gland
| Autor: | Annette P. Zimmermann, B. Eivazi, Susanne Wiegand, J. A. Werner, Andreas M. Sesterhenn |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Facial nerve weakness medicine.medical_treatment Young Adult stomatognathic system medicine Sclerotherapy Humans Parotid Gland Lymphatic malformations Child Retrospective Studies Lymphatic Abnormalities Salivary gland business.industry Infant Retrospective cohort study Parotid gland Surgery Persistent Disease Treatment Outcome medicine.anatomical_structure Lymphatic system Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | European Journal of Pediatric Surgery. 21:242-245 |
| ISSN: | 1439-359X 0939-7248 |
| DOI: | 10.1055/s-0031-1271810 |
| Popis: | Introduction: Cases of salivary gland involve- ment of lymphatic malformations have been occasionally reported in the literature. Of all the lymphatic malformations in the salivary glands, the parotid is the most common site. The present study aimed to analyze a series of lymphatic malformations of the parotid gland. Materials and Methods: A retrospective analy- sis of the localization, symptoms, management and outcome was performed. Results: Out of a total of 20 patients with lymphatic malformations of the parotid gland, 4 patients suff ered from lymphatic malforma- tions limited to the parotid gland (type I) and 16 patients from extensive cervicofacial lymphatic malformations involving the parotid gland (type II). In 2 cases with type I disease and 4 cases with type II disease the malformations could be completely resected. In 3 patients with type II lymphatic malformations a partial resection was performed. The other patients were closely observed. 8 of them had already been treated elsewhere with surgery, sclerotherapy or laser therapy. One patient suff ered from facial paraly- sis and 1 from transient facial nerve weakness immediately after surgery. In all, 11 patients suf- fered from persistent lymphatic malformations despite several attempts to reduce or resect the lymphatic malformation. Conclusion: The treatment of lymphatic mal- formations of the parotid gland remains chal- lenging and persistent disease after therapy is common. Care should be taken to excise the entire malformation during initial surgery in order to avoid recurrence. |
| Databáze: | OpenAIRE |
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