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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

MOROVIC I, Carmen Gloria; VIDAL T, Claudia; LEIVA V, Noemí  y  VELIZ M, Sebastián. Mixed facial lymphatic malformation: Case report. Rev. chil. pediatr. [online]. 2014, vol.85, n.6, pp.714-719. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062014000600009.

Lymphangiomas are a common form of vascular malformation of the lymphatic vessels, mainly in the head and neck region. Most cases are progressive evolution and require a multidisciplinary approach. Currently, the first therapeutic option is sclerotherapy, leaving surgery for the treatment of remaining lesions. Objective: To present a case of facial lymphatic malformation (LM) treated with sclerotherapy, surgery and orthodontics in a 15-year follow up. Case report: A one-year-old female patient who consulted health professionals due to a progressive volume increase of the soft parts of her right cheek. The imaging study confirmed the diagnosis of microcystic lymphatic malformation. It was managed with OK-432 sclerotherapy and Bleomycin. At 2 years of age, the patient response was considered adequate; an intralesional submandibular surgical excision was then performed, with partial resection of the lesion. The biopsy confirmed the diagnosis of microcystic LM. Six months after, a re-resection was planned using the same approach and removing the remaining lesion, with favorable development until the age of 9 years when the patient required surgery and orthodontic management due to intraoral recurrence. No major developments until the age of 13 when a new orthodontic surgery and handling are planned to perform right oral commissure suspension. Conclusion: LM management by sclerotherapy, surgery, and orthodontics has shown the advantages of a multidisciplinary long-term treatment in this case.

Palabras clave : Lymphangioma; lymphatic malformation; lymphatic vessel tumors; sclerotherapy.

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