Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-26T23:06:07.217Z Has data issue: false hasContentIssue false
  • English
  • Français

Lymphagioma of the tongue. A review of pathogenesis, treatment and the use of surface laser photocoagulation

Published online by Cambridge University Press:  29 June 2007

A. Balakrishnan  and
C. M. Bailey
A. Balakrishnan*
Affiliation:
London
C. M. Bailey
Affiliation:
London
*
Mr A. Balakrishnan, F.R.C.S. Ed., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore. Fax: 65-226079
Get access Rights & Permissions [Opens in a new window]

Abstract

Lymphangiomas of the tongue are rare tumours. Several reports of this interesting condition have appeared in the literature with varying modalities of treatment being employed to control tongue sizew. We present here our experinece with seven children who have lymphagiomas of the head and neck with tongue involvement seen over the past eight years. If the tongue is large with protrusion outside the lip margins, we advocata early tongue reduction so as to promote proper speech and deglutition, reduce of orthodontic problems and achieve good cosmesis. However, the naturel history of these tumours is one of recurrent tongue enlargement secondary to infection and trauman, irrespective of surgical reduction. We describe our technique of surface CO2 laser photocoagulation which has been successfully employed in controlling tongue size and removing superficial lymphangioma in all our patients. We propose therefore that this should be the mainstay of follow-up therapy in lingual lymphangiomas.

Keywords

LymphangiomaTongueLaser
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 924 - 929
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 6th Annual Meeting of the American Society of Pediatric Otolaryngology, Hawaii, USA. May 1991.

References

Bailey, C. M. (1990) Cystic hygromo: editorial. Lancet, 335: 511–512.Google Scholar
Batsakis, G. J., Rice, H. D. (1981) The pathology of head and neck tumours: Vasoformative tumours, Part 9a. Head and Nexk Surgery, 3: 231–239.CrossRefGoogle ScholarPubMed
Bill, A. H. Jr., Summer, D. S. (1965) Unified concept of lymphangioma and cystic hygroma. Surgery, Gynaecology and Obstetrics, 120: 79–86.Google ScholarPubMed
Broomhead, I. W. (1964) Cystic hygroma of the neck. British Journal of Plastic Surgery, 17: 225–244.CrossRefGoogle ScholarPubMed
Carruth, J. A. S. (1985) Resection of the tongue with the carbon dioxide laser: 100 cases. Journal of Laryngology and Otology, 99: 887–887.CrossRefGoogle ScholarPubMed
Cohen, S. R., Thomson, J. N. (1986) Lymphangiomas of the larynx in infants and children. A survey of pediatric lymphangioma. Annlas of Otology, Rhinology and Laryngology, 95 (Supplement 127): 1–20.CrossRefGoogle Scholar
Dinerman, N. S., Myers, E. N. (1976) Lymphagiomatous macroglossia. Laryngoscope, 86: 291–296.CrossRefGoogle ScholarPubMed
Dixon, A. J., Davis, R. K., Gilbertson, J. J. (1986) Laser photocoagulation of vascular malformations of the tongue. Laryngoscope, 96: 537–541.CrossRefGoogle ScholarPubMed
Emery, P. J., Bailey, C. M., Evans, J. N. G. (1984) Cystic hygroma of the head and neck: a review of 37 cases. Journal of Laryngology and Otology, 988: 613–619.CrossRefGoogle Scholar
Huntington, G. S., McClure, C. F. W. (1910) The anatomy and development of the jugular lymph sac in the domestic cat. American Journal of Anatomy, 10: 177–311.CrossRefGoogle Scholar
kampmeier, O. F. (1931) Ursprung und Entwicklungsgeschichte des Ductus Thoracicus Nebst Saccus Lymphaticus Jugularis und Cysternachyli beim Menschen. Morphologisches Jahrbuch, 67: 157–234.Google Scholar
Kennedy, T. L. (1989) Cystic hygroma—lymphangioma: A rare and still unclear entity. Laryngoscope. 99 (Supplement 49): 1–10.CrossRefGoogle ScholarPubMed
Landing, B. H., Farber, S. (1956) Tumours of the Cardiovascular system. Atlas of Tumour Pathology. Armed Forces Institute of Pathology, Washington, DC.Google Scholar
Ninh, T. N., Ninh, T. X. (1974) Cystic hygroma in children: A report of 126 cases. Journal of Pediatric Suugery, 9: 191–194.CrossRefGoogle Scholar
Ravitch, M. M., Rush, B. F. (1986) Cystic Hygroma. Paediatric surgery. (Welch, K. J., Randolph, J. G., Ravitch, M. M., O'Neill, J. A., and Rowe, M. I., Eds.) 4th edition Year Book Medical publications inc: Chicago. p. 533–539.Google Scholar
Redenbacker, , cited by Wenher, A. (1843) Die Angeborenen Zysten Huygrome und die ihnen Verwandten Geschwulste. Anatomischer, Diagnosticher und Therapeutischer Beziehung. Germany: G. F. Heger, Vater, Giessen. pp. 76.Google Scholar
Rice, J. P., Carson, S. H. (1985) A case report of lingual lymphangioma presenting as recurrent massive tongue enlargement. Clinical Paediatrics, 24: 47–50.CrossRefGoogle ScholarPubMed
Sabin, F. R. (1901) On the origin of the lymphatic system from the veins and the development og lymph, heart and thoracic duct in the pig. American Journal of Anatomy, 1: 367–389.CrossRefGoogle Scholar
Velcek, T. F., Klotz, D. H., Hill, C. H., Ladogana, L. E., Kottmeier, P. K. (1979) Tongue lesions in children. Journal of Pediatric Surgery, 14: 238–246.CrossRefGoogle ScholarPubMed
Virchow, J. (1854) Ueber Makroglossie und Pathologische neubilding guergestreifts muskelfasern. Virchow's Archiv (Pathologische Anatomiè), 7: 127.Google Scholar