| Autor: |
Rim, Zainine, Chafik, El Aoud, Moncef, Sellami, Najeh, Beltaief, Semia, Sahtout, Ghazi, Besbes |
| Jazyk: |
francouzština |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
La Tunisie medicale. 90(1) |
| ISSN: |
0041-4131 |
| Popis: |
The cystic hygroma is a benign lymphatic malformation, a rare but potentially serious in its character and its evolutionary trend dissecans. The head and neck region constitutes the favorite seat (75%). If the diagnosis is usually easy, the therapeutic management remains controversial.To analyze clinical and paraclinical characteristics of cystic hygroma and to discuss the various therapeutic methods.We report a retrospective study about 25 cases of head and neck cystic hygroma collected during a period of 11 years (1998- 2008) in the ENT department of the hospital The Rabta Tunis.The average age of our patients was 18 years and 5 months. All patients consulted for a neck mass. It was localized in the submandibular region in 7 cases, 3 cases in parotid region, jugulocarotid artery in 3 cases and affecting the posterior triangle in 12 cases. Cervical ultrasound was performed in 22 cases (88%) evoking the diagnosis of cystic hygroma in 16 cases (72%). CT was performed in 10 cases finding hypodense aspect in 8 cases. MRI was carried out in 9 cases. It showed the aspect hyperintense T2, hypointense T1 in 7 cases. Surgical excision was performed in 22 cases and sclerotherapy in 3 patients. During the evolution, a recurrence was observed for each treatment modality.Surgery is treatment of choice of cystic hygroma. Sclerotherapy may be indicated as an alternative to surgery in localized and diffuse macrocystic forms. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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