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1.
Eur Arch Otorhinolaryngol ; 280(5): 2535-2540, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-36695910

RESUMEN

PURPOSE: Lymphatic malformations (LM) are congenital malformations of the lymphatic system, mainly located in the head and neck area. They can be staged based on location according to de Serres and based on different morbidity items using the Cologne Disease Score (CDS), a clinical staging system. In many cases, functional impairment greatly affects the life of patients suffering from lymphatic malformations. The present study aims to analyze a cohort of pediatric patients with LM. METHODS: A retrospective analysis of 144 pediatric patients with head and neck LM was performed. Location, type of malformation (microcystic, macrocystic, mixed), scoring according to two different scoring systems and therapy were analyzed. Kruskal-Wallis test was used to analyze the difference in CDS between the patient groups and Dunn's test was used for post-hoc pairwise comparison. RESULTS: The average age at presentation was 6.1 years. The most common sites were neck (47%), cheek/parotid gland (26%), tongue (17%) and orbit (8%). Macrocystic malformations dominated the lateral neck, while microcystic malformations were predominantly localized in the tongue and floor of mouth. Macrocystic malformations (mean CDS 9.44) were associated with significantly better CDS than microcystic (mean CDS 7.11) and mixed (mean CDS 5.71) malformations (p < 0.001). LM in stage V according to de Serres had the lowest values (mean CDS: 4.26). The most common therapeutic procedures were conventional surgical (partial) resection, laser therapy and sclerotherapy with OK-432. CONCLUSIONS: There is an association between malformation type, location according to de Serres and CDS in children with LM of the head and neck. Patients with microcystic and mixed malformations in stage V had lowest CDS levels.


Asunto(s)
Quistes , Anomalías Linfáticas , Niño , Humanos , Lactante , Estudios Retrospectivos , Resultado del Tratamiento , Cabeza/cirugía , Cuello/cirugía , Anomalías Linfáticas/complicaciones , Anomalías Linfáticas/terapia , Escleroterapia/métodos
2.
Laryngorhinootologie ; 103(3): 235-236, 2024 03.
Artículo en Alemán | MEDLINE | ID: mdl-38437840
3.
Laryngorhinootologie ; 103(1): 74-75, 2024 01.
Artículo en Alemán | MEDLINE | ID: mdl-38181779
7.
Laryngorhinootologie ; 103(2): 154-158, 2024 02.
Artículo en Alemán | MEDLINE | ID: mdl-38320570
8.
Laryngorhinootologie ; 103(4): 318-319, 2024 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-38565112
10.
Laryngorhinootologie ; 102(3): 239-243, 2023 03.
Artículo en Alemán | MEDLINE | ID: mdl-36858064

Asunto(s)
Boca , Orofaringe , Humanos
11.
Laryngorhinootologie ; 102(9): 709-712, 2023 09.
Artículo en Alemán | MEDLINE | ID: mdl-37657435
12.
Laryngorhinootologie ; 102(7): 553-556, 2023 07.
Artículo en Alemán | MEDLINE | ID: mdl-37399825
13.
Laryngorhinootologie ; 102(8): 632-634, 2023 08.
Artículo en Alemán | MEDLINE | ID: mdl-37536335
15.
Laryngorhinootologie ; 102(6): 468-471, 2023 06.
Artículo en Alemán | MEDLINE | ID: mdl-37267970
16.
Laryngorhinootologie ; 102(4): 316-319, 2023 04.
Artículo en Alemán | MEDLINE | ID: mdl-37040755
17.
Laryngorhinootologie ; 102(10): 796-799, 2023 10.
Artículo en Alemán | MEDLINE | ID: mdl-37793380
18.
Laryngorhinootologie ; 102(11): 888-891, 2023 11.
Artículo en Alemán | MEDLINE | ID: mdl-37918390
20.
Laryngorhinootologie ; 102(12): 973-975, 2023 12.
Artículo en Alemán | MEDLINE | ID: mdl-38048775
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