alexa Lymphatic malformations of the head and neck. A proposal for staging.
Oncology

Oncology

Journal of Cancer Science & Therapy

Author(s): de Serres LM, Sie KC, Richardson MA

Abstract Share this page

Abstract OBJECTIVE: To propose a staging system for patients with lymphatic malformations of the head and neck. DESIGN: Retrospective chart review. PATIENTS: Fifty-six patients were treated for lymphatic malformations from 1983 to 1993 at Children's Hospital and Medical Center, Seattle, Wash. The charts were reviewed for anatomic location of the lesion, preoperative and postoperative complications, number of procedures to control disease, long-term sequelae, and persistence of disease. Lesions were characterized as being unilateral or bilateral and suprahyoid and/or infrahyoid. The five patient groups were then compared with respect to the above categories. RESULTS: Preoperative complications reviewed include preoperative infection, respiratory embarrassment necessitating airway intervention, and feeding difficulties. Postoperative complications assessed were cranial nerve injury, wound infection, and seroma formation. Long-term sequelae included malocclusion, speech delay, and cosmetic deformity. The rate of persistent disease was also assessed. A staging system was developed based on a progression of extent of disease. Stage I patients (n = 12) had unilateral infrahyoid disease and a 17\% incidence of complications overall. Stage II patients (n = 17) had unilateral suprahyoid disease and a 41\% incidence of complications. Stage III patients (n = 15) had unilateral suprahyoid and infrahyoid disease and a complication rate of 67\%. Stage IV patients (n = 5) with bilateral suprahyoid disease had a complication rate of 80\%, while stage V patients (n = 6) with bilateral suprahyoid and infrahyoid disease had a 100\% incidence of complications. CONCLUSION: Anatomic location of lymphatic malformations of the head and neck can be used to predict prognosis and outcome of surgical intervention.
This article was published in Arch Otolaryngol Head Neck Surg and referenced in Journal of Cancer Science & Therapy

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords