Surgical excision as primary treatment modality for extensive cervicofacial lymphatic malformations in children

Bajaj, Yogesh; Hewitt, Richard; Ifeacho, Sonna; Hartley, Benjamin E. J.

doi:10.1016/j.ijporl.2011.02.009

Cited by 42 publications

(29 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Results of review Generally, the rate of successful surgical resection is high, and ≥90% resection is reported to be possible in 60% or more of the patients. [286][287][288] This also applies to the head and neck region, which is the frequent site of the lesion. 286 However, the percentage of resectable lesions decreases from the cystic to mixed and to cavernous type.…”

Section: Strength Of Recommendation: 2 (Weak) Evidence: D (Very Weak)mentioning

confidence: 99%

“…[286][287][288] This also applies to the head and neck region, which is the frequent site of the lesion. 286 However, the percentage of resectable lesions decreases from the cystic to mixed and to cavernous type. 286 Since many LM are distributed diffusely in the skin and subcutaneous adipose tissue and around structures including muscles, blood vessels, and nerves, resection of the lesion involves resection of normal tissues in varying degrees.…”

Section: Strength Of Recommendation: 2 (Weak) Evidence: D (Very Weak)mentioning

confidence: 99%

See 1 more Smart Citation

Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

The objective was to prepare guidelines to perform the current optimum treatment by organizing effective and efficient treatments of hemangiomas and vascular malformations, confirming the safety, and systematizing treatment, employing evidence‐based medicine (EBM) techniques and aimed at improvement of the outcomes. Clinical questions (CQs) were decided based on the important clinical issues. For document retrieval, key words for literature searches were set for each CQ and literature published from 1980 to the end of September 2014 was searched in Pubmed, Cochrane Library, and Japana Centra Revuo Medicina (JCRM). The strengths of evidence and recommendations acquired by systematic reviews were determined following the Medical Information Network Distribution System (MINDS) technique. A total of 33 CQs were used to compile recommendations and the subjects included efficacy of resection, sclerotherapy/embolization, drug therapy, laser therapy, radiotherapy, and other conservative treatment, differences in appropriate treatment due to the location of lesions and among symptoms, appropriate timing of treatment and tests, and pathological diagnosis deciding the diagnosis. Thus, the Japanese Clinical Practice Guidelines for Vascular Anomalies 2017 have been prepared as the evidence‐based guidelines for the management of vascular anomalies.

show abstract

Section: Strength Of Recommendation: 2 (Weak) Evidence: D (Very Weak)mentioning

confidence: 99%

Section: Strength Of Recommendation: 2 (Weak) Evidence: D (Very Weak)mentioning

confidence: 99%

Japanese clinical practice guidelines for vascular anomalies 2017

Mimura

Akita

Fujino

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…The most common methods of treatment of LMs are active observation, surgical resection, sclerotherapy or a combination of these [13][14][15]. Smaller, asymptomatic lesions can be treated with expectant management [1].…”

Section: Discussionmentioning

confidence: 99%

Antenatal hemorrhage of a cervical lymphatic malformation presenting as a draining neck mass: An unusual presentation

Haricharan

Nawaz

Bettolli

et al. 2014

Journal of Neonatal-Perinatal Medicine

View full text Add to dashboard Cite

Lymphatic malformations in the neck can present as large fetal neck masses causing airway obstructions with potential perinatal demise and can pose a therapeutic challenge. We present a rare case of prenatally diagnosed large fetal neck mass with features of lymphatic malformation with intralesional hemorrhage of uncertain origin. Postnatal evaluation showed a complex cystic-solid lesion eroding through the skin with an open wound that made it clinically hard to differentiate from a teratoma. Given that malignancy could not be completely ruled out, surgery was favored. Final pathology showed a complex lymphatic malformation with intralesional hemorrhage, despite having no associated capillary, venous or arterial malformations.

show abstract

“…4 Depending on the tortuous blood supply, as well as cellular composition of the VM, surgical excision may be the ideal management. 5 The team began by using laser therapy on the venous component of the malformation to bolster the strength of the bladder wall and eliminate any mucosal disease. This provided primary control of urologic symptoms.…”

Section: Commentmentioning

confidence: 99%

“…A previous report cites 80% complete or near-complete resolution with 1 episode of excision treatment for lymphatic malformations. 5 However, total removal of the mass is preferential for lymphatic malformations, and excision most reliably provides this outcome. 6 VMs involving the bladder are extremely rare, but when present, can lead to hematuria and pain.…”

Section: Commentmentioning

confidence: 99%