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Transoral Sclerotherapy for Deep Space Cervical Lymphatic Malformations in Children With Acute Airway Compromise.

Publication ,  Journal Article
Cheng, J; Yoo, MJ
Published in: Ann Otol Rhinol Laryngol
October 2015

INTRODUCTION: Cervical lymphatic malformations in children rarely present with acute airway compromise. During an acute exacerbation or hemorrhage, lymphatic malformations involving the deep neck spaces may precipitate critical airway obstruction. These are rare clinical entities and tracheotomy is the standard procedure to bypass impending airway obstruction. METHODS: We present our recent experience with 2 children presenting with acute airway compromise resulting from deep space cervical lymphatic malformations and describe our technique and success with transoral sclerotherapy. RESULTS: Direct laryngoscopy-assisted transoral sclerotherapy with doxycycline may be considered an alternative to tracheotomy to address retropharyngeal and parapharyngeal space lymphatic malformations. CONCLUSIONS: Direct laryngoscopy-assisted transoral sclerotherapy is an excellent treatment option for children with deep space cervical lymphatic malformations with airway compromise. It is effective, provides direct access, and can be an alternative to a tracheotomy.

Duke Scholars

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Published In

Ann Otol Rhinol Laryngol

DOI

ISSN

0003-4894

Publication Date

October 2015

Volume

124

Issue

10

Start / End Page

824 / 828

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sleep Apnea, Obstructive
  • Sclerotherapy
  • Sclerosing Solutions
  • Respiratory Insufficiency
  • Otorhinolaryngology
  • Neck
  • Male
  • Magnetic Resonance Imaging
  • Lymphatic Vessels
 

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Cheng, J., & Yoo, M. J. (2015). Transoral Sclerotherapy for Deep Space Cervical Lymphatic Malformations in Children With Acute Airway Compromise. Ann Otol Rhinol Laryngol, 124(10), 824–828. https://doi.org/10.1177/0003489415585868
Cheng, Jeffrey, and Mi Jin Yoo. “Transoral Sclerotherapy for Deep Space Cervical Lymphatic Malformations in Children With Acute Airway Compromise.Ann Otol Rhinol Laryngol 124, no. 10 (October 2015): 824–28. https://doi.org/10.1177/0003489415585868.
Cheng, Jeffrey, and Mi Jin Yoo. “Transoral Sclerotherapy for Deep Space Cervical Lymphatic Malformations in Children With Acute Airway Compromise.Ann Otol Rhinol Laryngol, vol. 124, no. 10, Oct. 2015, pp. 824–28. Pubmed, doi:10.1177/0003489415585868.
Journal cover image

Published In

Ann Otol Rhinol Laryngol

DOI

ISSN

0003-4894

Publication Date

October 2015

Volume

124

Issue

10

Start / End Page

824 / 828

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Sleep Apnea, Obstructive
  • Sclerotherapy
  • Sclerosing Solutions
  • Respiratory Insufficiency
  • Otorhinolaryngology
  • Neck
  • Male
  • Magnetic Resonance Imaging
  • Lymphatic Vessels