Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Extensive lymphangioma presenting with upper airway obstruction.

D M Hartl1, G Roger, F Denoyelle

  • 1Department of Pediatric Otolaryngology-Head and Neck Surgery, Hopital d'Enfants Armand Trousseau, 26 avenue du Dr Arnold Netter, 75571 Paris Cedex 12, France.

Archives of Otolaryngology--Head & Neck Surgery
|November 14, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Efficacy of myringoplasty before 6 years of age: A STROBE analysis.

European annals of otorhinolaryngology, head and neck diseases·2026
Same author

Journal white-list versus special issues.

European annals of otorhinolaryngology, head and neck diseases·2025
Same author

A new way of grading severity of ACL rupture on acute MRI to consider potential for non-surgical healing with the Cross Bracing Protocol: ACL Acute Rupture Characteristics for Healing (ACL-ARCH) MRI criteria.

Journal of science and medicine in sport·2025
Same author

The Auxiliary Report Book: A glimpse of surgical activity in a pediatric ENT department in Paris in the 1920s.

European annals of otorhinolaryngology, head and neck diseases·2024
Same author

TIRO (Thyroid International Recommendations Online) now available in French.

European annals of otorhinolaryngology, head and neck diseases·2023
Same author

Paediatric vestibular assessment in French cochlear implant centres: Challenges and improvement areas.

International journal of pediatric otorhinolaryngology·2023
Same journal

Pathology quiz case 2.

Archives of otolaryngology--head & neck surgery·2014
Same journal

Pathology quiz case 1.

Archives of otolaryngology--head & neck surgery·2014
Same journal

Radiology quiz case 1: diagnosis.

Archives of otolaryngology--head & neck surgery·2013
Same journal

Pair of red and green macaws.

Archives of otolaryngology--head & neck surgery·2013
Same journal

Pathology quiz case 2: diagnosis.

Archives of otolaryngology--head & neck surgery·2013
Same journal

About this journal.

Archives of otolaryngology--head & neck surgery·2013
See all related articles

Pediatric lymphangioma causing airway compression can be treated surgically. However, aggressive surgery may not improve outcomes for intrinsic airway involvement, suggesting less invasive options for these cases.

Area of Science:

  • Pediatric Otolaryngology
  • Surgical Oncology
  • Respiratory Medicine

Background:

  • Lymphangiomas are benign congenital tumors that can cause significant morbidity in children.
  • Airway compromise due to lymphangioma is a critical concern, particularly when involving the tongue base, parapharyngeal space, or larynx.
  • Management of pediatric lymphangioma with airway obstruction presents complex challenges.

Purpose of the Study:

  • To evaluate the surgical outcomes of pediatric lymphangioma cases presenting with dyspnea due to airway compression.
  • To identify prognostic factors influencing treatment success in these patients.

Main Methods:

  • Retrospective review of 18 pediatric cases of lymphangioma with airway encroachment treated between 1983 and 1998.
  • Surgical interventions included neck dissection, tracheotomy, V glossoplasty, cervicotomy, endoscopy, CO2 laser photocoagulation, and supraglottic laryngectomy.

Related Experiment Videos

  • Outcome measures focused on residual disease, tracheotomy status, and persistent respiratory symptoms.

    • Main Results:

    • A 50% rate of tracheotomy was required initially. Of those, 89% were decannulated after an average of 22 months.
    • Residual lymphangioma was observed in 94% of patients postoperatively.
    • Ten patients experienced persistent respiratory symptoms, while 6 remained asymptomatic.

    Conclusions:

    • External compression of the airway by cervical lymphangioma responds well to surgical intervention.
    • Intrinsic involvement of the upper airway by lymphangioma appears to be a negative prognostic factor, with aggressive surgery offering limited benefit.
    • Less aggressive, symptomatic management may be a viable alternative for patients with intrinsic airway involvement to avoid extensive surgical procedures.