Lymphangioma of the tongue: report of four cases with dental aspects

Yıl 2014, Cilt: 24 Sayı: 3, 172 - 176, 19.06.2014

Kıvanç Bektaş Kayhan Yaren Keskin Mustafa Caner Kesimli Murat Ulusan Meral Ünür

Öz

Lymphangiomas are rare congenital malformations which are commonly seen in the head and neck region. The disease can be histologically differentiated from other vascular disorders such as cavernous or capillary hemangioma with the lymphatic endothelium-lined cystic spaces. The onset of lymphangiomas are either at birth 60 to 70% or up to two years of age 90% . It is rare in adults. The therapeutic strategy is mainly based on the surgical removal of the lesion. The risk of recurrence is high in incomplete removal of the lesion. In this article, we discuss the major clinical manifestations, diseaserelated impairments and dental problems which patients may face as well as treatment options for lymphangioma of the tongue. Within this context, we present four cases of lymphangioma of tongue, including two with a giant macroglossia leading problems in dentition and related dental problems.

Anahtar Kelimeler

Dental care, lymphangioma, macroglossia, tongue

Dil lenfanjiyomu: Diş sorunu olan dört olgu sunumu

Öz

Lenfanjiyomlar, genellikle baş ve boyun bölgesini tutan nadir doğuştan malformasyonlardır. Hastalık, lenfatik endotelyum hattı olan kistik boşluklar ile kavernöz veya kapiller hemanjiyom gibi diğer vasküler bozukluklardan histolojik olarak ayırt edilebilir. Lenfanjiyomlar doğuştan olabilir veya iki yaşına kadar gelişebilir %90 . Erişkinlerde nadir görülür. Tedavi stratejisi, esas olarak lezyonun cerrahi olarak çıkarılmasını kapsar. Lezyonun tamamen çıkarılmaması durumunda nüks riski yüksektir. Bu yazıda, hastalığın majör klinik belirtileri, hastaların karşılaşabileceği hastalık ile ilişkili bozukluklar ve diş sorunlarının yanı sıra dil lenfanjiyomunun tedavi seçenekleri irdelendi. Bu bağlamda, ikisi diş yapısı ve ilgili diş sorunlarına yol açan dev makroglossi olmak üzere, dört dil lenfanjiyom olgusu sunuldu

Anahtar Kelimeler

Diş sağlığı, lenfanjiyom, makroglossi, dil

Kaynakça

• Neville BW, Damn DD, Allen CM, Bouquot JE. Soft Tissue Tumors. In: Oral and Maxillofacial Pathology. 3rd ed. Philadelphia: W.B. Saunders; 1995. p. 547-9.
• Khurana S, Vij A, Singal A, Pandhi D. Lymphangioma of the tongue: response to intralesional steroids. J Dermatolog Treat 2006;17:124-6.
• Rathan JJ, Vardhan BG, Muthu MS, Venkatachalapathy, Saraswathy K, Sivakumar N. Oral lymphangioma: a case report. J Indian Soc Pedod Prev Dent 2005;23:185-9.
• Hudson JW, Meszaros EJ. Submucosal lymphangioma of the maxillary sinus. J Oral Maxillofac Surg 2003;61:390-2.
• Yaita T, Onodera K, Xu H, Ooya K. Histomorphometrical study in cavernous lymphangioma of the tongue. Oral Dis 2007;13:99-104.
• Guelmann M, Katz J. Macroglossia combined with lymphangioma: a case report. J Clin Pediatr Dent 2003;27:167-9.
• Leboulanger N, Roger G, Caze A, Enjolras O, Denoyelle F, Garabedian EN. Utility of radiofrequency ablation for haemorrhagic lingual lymphangioma. Int J Pediatr Otorhinolaryngol 2008;72:953-8.
• de Queiroz AM, Silva RA, Margato LC, Nelson-Filho P. Dental care management of a young patient with extensive lymphangioma of the tongue: a case report. Spec Care Dentist 2006;26:20-4.
• Bloom DC, Perkins JA, Manning SC. Management of lymphatic malformations. Curr Opin Otolaryngol Head Neck Surg 2004;12:500-4.
• Bansal A. Lymphangioma circumscriptum of the tongue. Indian Pediatr 2006;43:650-1.
• Kataria P, Passey JC, Agarwal AK. Lymphangioma circumscriptum of the tongue: successful treatment using intralesional bleomycin. J Laryngol Otol 2009;123:1390-2.
• Bonet-Coloma C, Minguez-Martínez I, Aloy- Prósper A, Rubio-Serrano M, Peñarrocha-Diago MA, Peñarrocha-Diago M. Clinical characteristics, treatment, and evolution in 14 cases of pediatric orofacial lymphangioma. J Oral Maxillofac Surg 2011;69:e96-9.
• Brennan TD, Miller AS, Chen SY. Lymphangiomas of the oral cavity: a clinicopathologic, immunohistochemical, and electron-microscopic study. J Oral Maxillofac Surg 1997;55:932-5.
• Wiegand S, Eivazi B, Zimmermann AP, Sesterhenn AM, Werner JA. Evaluation of children with lymphatic malformations of the head and neck using the Cologne Disease Score. Int J Pediatr Otorhinolaryngol 2009;73:955-8.
• Jian XC. Surgical management of lymphangiomatous or lymphangiohemangiomatous macroglossia. J Oral Maxillofac Surg 2005;63:15-9.
• Chen WL, Zhang B, Wang JG, Ye HS, Zhang DM, Huang ZQ. Surgical excision of cervicofacial giant macrocystic lymphatic malformations in infants and children. Int J Pediatr Otorhinolaryngol 2009;73:833-7.
• Bozkaya S, Uğar D, Karaca I, Ceylan A, Uslu S, Bariş E, et al. The treatment of lymphangioma in the buccal mucosa by radiofrequency ablation: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:e28-31.
• Wiegand S, Eivazi B, Zimmermann AP, Sesterhenn AM, Werner JA. Sclerotherapy of lymphangiomas of the head and neck. Head Neck 2011;33:1649-55.
• Wang LC, Krunic AL, Medenica MM, Soltani K, Busbey S. Treatment of hemorrhagic lymphatic malformation of the tongue with a pulsed-dye laser. J Am Acad Dermatol 2005;52:1088-90.
• Demir E, İsen K, Büyükbayram H. Lymphangioma circumscriptum of the glans penis treated with advanced fluorescence technology pulsed light therapy: case report. Türkiye Klinikleri J Med Sci 2010;30:1417-20.
• Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL Jr, Hoffer FA, et al. Lymphatic malformations: review of current treatment. Otolaryngol Head Neck Surg 2010;142:795-803.
• Tei E, Yamataka A, Komuro Y, Ohshiro K, Yanai A, Lane GJ, et al. Huge lymphangioma of the tongue: a case report. Asian J Surg 2003;26:228-30.
• Tewari A, Munjal M, Kamakshi, Garg S, Sood D, Katyal S. Anaesthetic consideration in macroglossia due to lymphangioma of tongue: a case report. Indian J Anaesth 2009;53:79-83.