A case of postoperative nasopharyngeal reflux associated with retropharyngeal lymphangioma in newborn infant.
10.3345/kjp.2010.53.2.258
- Author:
Kyo Yeon KOO
1
;
Jun Seok LEE
;
Soon Min LEE
;
Min Soo PARK
;
Ran NAMGUNG
;
Kook In PARK
;
Chul LEE
;
Choon Sik YOON
;
Woo Hee JUNG
;
Hong Shik CHOI
Author Information
1. Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea. minspark@yuhs.ac
- Publication Type:Case Report
- Keywords:
Cystic Lymphangioma;
Deglutination disorder;
Excision;
Pharyngeal Diseases
- MeSH:
Deglutition;
Head;
Humans;
Infant, Newborn;
Lymphangioma;
Lymphangioma, Cystic;
Lymphatic System;
Neck;
Palate, Soft;
Pharyngeal Diseases;
Prognosis
- From:Korean Journal of Pediatrics
2010;53(2):258-261
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lymphangioma is a rare benign congenital tumor of the lymphatic system, which is commonly diagnosed before 2 years of age. In the natronal report, cystic lymphangioma was usually reported as a huge translucent mass located in the head and neck area. It's occurrence in retropharyngeal space with respiratory obstruction and swallowing difficulty in neonate is extremely rare and postoperative nasopharyngeal reflux has rarely been reported. Complete resection is the standard therapy. However, involvement of the upper airway may be determining prognosis in the extensive lymphangiomas because of the difficulty of complete excision. We present a case of cystic lymphangioma in neonate which was initially asymptomatic but gradually progressed to cause respiratory obstruction due to enlargement. After resection, nasopharyngeal reflux developed with dysfunction of the soft palate and gradually improved with conservative care over 5 months.
