Abstract
The diagnosis and treatment of lymphangiomas may be difficult according to their localization. 38 year old woman compla-ining from a mass on the left side of her neck causing pain during swallowing and difficulty in feeding vvas determinated. Her physical examination shovved a mass bulging from her left lateral oropharyngeal wall covering with normal mucosa and an un-remarkable margined mass under her left mandible extending through the hyoid bone. The lesion explored by transcervical ap-roach and a cystic lesion extended from the carotid bifurcation through the styloid process adjacent to carotid arteries, internal jugular vein and cranial nerves vvas observed and removed totally. Lymphangioma should be reminded in differential diagnosis of oropharyngeal masses and complete removal of the lesion with preserving adjacent vessels could be performed by meticulo-us evaluation and intraoperative management.
Keywords
References
- Ricciardelli EJ, Richardson MA. Cervicofacial cystic hygro- ma patterns of recurrence and management of the difficult case. Arch Otolaryngol Head Neck Surg 1991 ;117:546-53.
- Tibesar RJ, Rimeli FL, Michel E. Cystic hygroma of the skull base. Arch Otolaryngol Head Neck Surg 1999;125:1390-3.
- Kennedy TL, VVhitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: A rational approach to manage ment. Laryngoscope 2001;111:1929-37.
- Malone JP, Agravval A, Schuller DE. Safety and efficacy of transcervical resection of parapharyngeal space neop- lasms. Ann O fol Rhinol Laryngol 2001;110:1093-8.
Abstract
Lenfanjiyomların tanı ve tedavisi bulunduğu yere göre zorluk arz eder. Bir yıldır yutma sırasında ağrı ve beslenme zorluğu ve boyun sol tarafında şişlik nedeniyle başvuran 38 yaşındaki kadın hastanın yapılan muayenesinde sol lateral orofarengeal duvardan orofarenks içine uzanan, normal mukoza ile örtülü kitle ve solda angulus mandibula altından hiyoid kemiğe kadar uzanan sınırları net ayırt edilemeyen kitle lezyon tespit edildi. Lezyon transservikal eksplore edilerek ana karotis arter bifurkasiyo-nundan stiloid çıkıntıya uzanan kistik kitle total eksize edildi. Orofarengeal kitlelerin ayırıcı tanısında lenfanjiyom akılda bulundurulmalıdır. Detaylı preoperatif inceleme ve dikkatli cerrahi ile komşu büyük damarsal yapılar korunarak komplet rezeksiyon sağlanabilir.
Keywords
References
- Ricciardelli EJ, Richardson MA. Cervicofacial cystic hygro- ma patterns of recurrence and management of the difficult case. Arch Otolaryngol Head Neck Surg 1991 ;117:546-53.
- Tibesar RJ, Rimeli FL, Michel E. Cystic hygroma of the skull base. Arch Otolaryngol Head Neck Surg 1999;125:1390-3.
- Kennedy TL, VVhitaker M, Pellitteri P, Wood WE. Cystic hygroma/lymphangioma: A rational approach to manage ment. Laryngoscope 2001;111:1929-37.
- Malone JP, Agravval A, Schuller DE. Safety and efficacy of transcervical resection of parapharyngeal space neop- lasms. Ann O fol Rhinol Laryngol 2001;110:1093-8.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2007 |
| Published in Issue | Year 2007 Volume: 40 Issue: 1 |