Dilemma in management of cervico-facial cystic hygroma

Author: Rajoo Tamil Selvi ^{1
,

2} ; Ing Ping Tang ^{3
,

4} ; Linger Sim ^{1
,

2} ; Mohd Syafwan Mohd Soffian ⁵
Author Information

1. Department of ORL-Head&
2. Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kota Bahru, Kelantan, Malaysia
3. Department of Otorhinolaryngology - Head and Neck, Faculty of Medicine &
4. Health Sciences, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
5. Department of Otorhinolaryngology- Head and Neck, Hospital Miri, Miri, Sarawak, Malaysia
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2019;74(5):450-451
CountryMalaysia
Language:English
Abstract: Cervico facial cystic hygroma and tongue lymphagioma is rare representative of spectrum of lymphatic malformations. Conservative management with sclerosants alone has proven to be successful. However, sudden enlargement of these cervico facial lymphangiomas leads to catastrophic airway obstruction leading to debility in feeding and speech. Therefore, surgery is indicated in such case to prevent such a catastrophic problem. We report here the case of a 3-yearold boy with cervico facial hygroma involving the tongue. We successfully treated him with a combination of surgery and OK432 injection.