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CURRENT ISSUEOTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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CLINICAL CASES  


Otorinolaringologia 2001 September;51(3):131-3

language: Italian

Laterocervical cystic hygroma: a case report

Saraniti C., Caramanna C., Dispenza C.

Università degli Studi - Palermo Istituto di Clinica Otorinolaringoiatrica «R»


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Cystic hygroma or lymphangioma is still a pathology that is difficult both to diagnose and to treat. The case reported here is important for various reasons: age, the rapid increase in volume not justified by trauma or phlogosis, the site because this pathology has a predilection for the right laterocervical region. The diagnosis is confirmed both objectively and above all as result of imaging (ultrasonography and CT). Surgery is the treatment of choice, even if no alternative measures have been suggested based on the use of sclerosing substances. The surgical approach must be conservative given that it is a benign pathology, but at the same time radical owing to the high percentage of recidivation. For this reason, other authors suggest associating functional laterocervical exenteration, especial in more extensive cases. In this instance, in view of the size of the lesion and given that we did not wish to subject the patient to laterocervical exenteration, we made a transverse section of the sternocleidomastoid muscle between the median and lower third, obtaining domination of the operating field and radical removal of the lesion. The patient is still asymptomatic three years after surgery.

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