In this
retrospective study, conducted over 7 years (2009-2016) at the ENT and Head and
Neck Surgery Department of the Donka National Hospital, we report 2 cases of
cervicofacial cystic lymphangiomas. They were a 28-month-old
girl and a 2-year-old boy. The symptomatology was noted after their birth.
Dyspnea and dysphagia were found in the boy. They had a satisfactory general
condition. ENT examination noted a cystic-like tumor syndrome. Imaging showed
evidence of a cystic lymphangioma of the cervicofacial region. Pathological
examination confirmed the diagnosis. All patients underwent exeresis
cervicotomy. We found adhesion of the lymphangioma cyst to the internal jugular
vein in the children. The boy presented a paralysis of the chin branch of the
facial nerve after the surgery. We did not find any tumor recurrence. However,
cystic cervicofacial lymphangiomas are a particular aspect of surgical
pathology in children in Africa. In spite of the advent of sclerosing products,
surgery remains for us the treatment of choice.
References
[1]
Sabin, F.R. (1909) The Lymphatic System in Human Embryos, with a Consideration of the Morphology of the System as a Whole. American Journal of Anatomy, 9, 43-91. https://doi.org/10.1002/aja.1000090104
[2]
Fisher, R., Partington, A. and Dykes, E. (1996) Cystic Hygroma: Comparison between Prenatal and Postnatal Diagnosis. Journal of Pediatric Surgery, 31, 473-476. https://doi.org/10.1016/S0022-3468(96)90477-7
[3]
François, M., Le Guillou, C., Depondt, J., Aboucaya, J.P. and Contencin, P. (1986) Les lymphangiomes cervico-faciaux chez l’enfant. Annales d’oto-laryngologie et de chirurgie cervico-faciale, 103, 113-117.
[4]
Bock, M.E., Smith, J.M., Parey, S.E. and Mobley, D.L. (1987) Lymphangiome. An Otolaryngologic. International Journal of Pediatric Otorhinolaryngology, 14, 133-144. https://doi.org/10.1016/0165-5876(87)90024-3
[5]
Hartl, D.M., Roger, G., Denoyelle, F., Nicollas, R., Triglia, J.-M. and Garabedian, E.-N. (2000) Extensive Lymphangioma Presenting with Upper Airway Obstruction. Archives of Otolaryngology-Head & Neck Surgery, 126, 1378-1382. https://doi.org/10.1001/archotol.126.11.1378
[6]
Gugliantini, P., Fariello, G. and D’Onofrio, M. (1975) Cystic Hygroma of the Neck Exploration with Iodinated Contrast Media. Annales de Radiologie, 18, 453-457.
[7]
Bill, A.H. (1965) A Unified Concept of Lymphangioma and Cystic Hygroma. Surgery, Gynecology and Obstetrics, 120, 79-86.
[8]
Kennedy, T.L., Whitaker, M., Pellitteri, P. and Wood, W.E. (2001) Cystic Hygroma/ Lymphangioma: A Rational Approach to Management. The Laryngoscope, 111, 1929-1937. https://doi.org/10.1097/00005537-200111000-00011
[9]
Triglia, J.-M., Lombard, B., Castro, F. and Richard-Vitton, T. (1995) Les lymphangiomes kystiques cervico-faciaux chez l’enfant: ORL pédiatrique. Les Cahiers d’oto-rhino-laryngologie, de chirurgie cervico-faciale et d’audiophonologie, 30, 221-227.
[10]
Raji, A., Essaadi, M., Touhami, M., Chekkoury, I. and Benchakroun, Y. (2000) Les lymphangiomes kystiques cervico-faciaux de l’enfant: A propos de 15 cas. Maghreb Médical, 346, 133-136.
[11]
Raji, A., Essaadi, M., Mahtar, M., Roubal, M. and Chekkoury, I.A. (2002) Les lym-phangiomes cervico-faciaux de l’adulte (à propos de 10 cas). Revue de laryngologie, d’otologie et de rhinologie (1919), 123, 27-32. https://doi.org/10.1016/S0399-077X(02)00353-0
[12]
Diop, E.M., Diouf, R. and Diop, L. (1984) Le lymphangiome kystique: Un problème pratique de l’oncologie cervicale. A propos de 4 observations. Annales d’oto-laryngologie et de chirurgie cervico-faciale, 101, 109-113.
[13]
Anne, F., Hurtier, O., Garcia, J.F., Filippini, J.F. and Piriou, A. (1992) Cystic Lymphangioma of the Neck in Adults. Contribution of Ultrasonography and Computed Tomography. Apropos of a Case. Annales de Radiologie, 35, 212-216.
[14]
Ozen, I.O., Moralioglu, S., Karabulut, R., Demirogullari, B., Sonmez, K., Turkyilmaz, Z., et al. (2005) Surgical Treatment of Cervicofacial Cystic Hygromas in Children. ORL: Journal for Oto-Rhino-Laryngology and Its Related Specialties, 67, 331-334. https://doi.org/10.1159/000090043
[15]
Grabb, W.C., Dingman, R.O., Oneal, R.M. and Dempsey, P.D. (1980) Facial Hamartomas in Children: Neurofibroma, Lymphangioma, and Hemangioma. Plastic and Reconstructive Surgery, 66, 509-527. https://doi.org/10.1097/00006534-198010000-00003
[16]
Uba, A.F. and Chirdan, L.B. (2006) Management of Cystic Lymphangioma in Children: Experience in Jos, Nigeria. Pediatric Surgery International, 22, 353-356. https://doi.org/10.1007/s00383-006-1642-7
[17]
Ameh, E.A. and Nmadu, P.T. (2001) Cervical Cystic Hygroma: Pre-, Intra-, and Post-Operative Morbidity and Mortality in Zaria, Nigeria. Pediatric Surgery International, 17, 342-343. https://doi.org/10.1007/s003830000558