sdj-10021

Priority in selection of treatment methods used for lymphatic malformations affecting maxillofacial region

Qais H. Mussa

College of Dentistry, University of Karbala

DOI: https://doi.org/10.17656/sdj.10021

Abstract

Objectives: The purpose of this paper was to discuss and evaluate the treatment plan selection and the outcomes of 82 cases of lymphatic malformation in oral & maxillofacial region.

Materials & methods: The analysis included of 82 cases of lymphatic malformation in oral & maxillofacial region during the period between January 2004 to November 2013 at maxillofacial department in Al-Hilla General Teaching Hospital. The treatment plans selection depend on details patient history, clinical examination & imaging investigations. Different  techniques were used depended on age, extension, site & types of lymphatic malformation. The treatment methods were conservative treatment, surgery, use of sclerosing agents or combinations of them.

Results: Total number of the patients were 82 complains from different types lymphatic malformation, 30 were males constituting 36.5% while 52 were females constituting 63.5% . The youngest patient was 5 days, while the oldest one was 45 years. Forty case treated by sclerotherapy and surgery (48.7%) . Surgery alone as primary treatment done for 27 patients (32.9%) other 10 cases treated by sclerotherapy alone   ( 12.1%) & 5 cases ( 6% )  only needs observation.

Conclusions: Careful treatment plan selection depends on age, extension, type of lesion & experience of surgeon associated with good prognosis. Conservative resection was the most effective method in treatment of lymphatic malformation.

Keywords: Vascular malformation, lymphangioma, sclerosing agent.

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