Surgical removal of intra- and extraoral cavernous lymphangiomas using intraoperative-assisted intralesional fibrin glue injections

The Journal of Craniofacial Surgery
J F Hönig, H A Merten

Abstract

Benign lymphangiomas are encountered frequently in the head and neck region. They may be well circumscribed or diffusely invasive, involving subcutaneous tissue and underlying muscle, and consist of dilated, thin-wall sinuses. Surgical therapy with excision as wide as possible, while taking care to avoid rupturing the lesion, is the treatment of choice. To simplify complete excision, the authors introduce an intraoperative technique--intralesional injection of fibrin glue. Using this technique over period of 10 years in 27 patients (age range, 7-24 years) they removed successfully intra- and extraoral lymphangiomas. There have been no recurrences. This technique helps avoid rupture of the epithelium and bleeding, and makes it easier to remove lymphangiomas surgically and as completely as possible. This technique reduces recurrence remarkably and ensures successful surgical excision.

Citations

Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Tirbod FattahiGregory T Caldwell
May 27, 2008·Wiener klinische Wochenschrift·Jaroslav KrausJan Betka
Apr 16, 2011·World Neurosurgery·Rossana RomaniJuha Hernesniemi
Oct 23, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Yaowu YangYanpu Liu
Mar 31, 2006·Journal of the American College of Surgeons·David M Albala, Jeffrey H Lawson
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Jan 24, 2016·Journal of Neurointerventional Surgery·Jeremy J HeitUNKNOWN SNIS Standards and Guidelines committee
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Dec 9, 2017·Otolaryngologic Clinics of North America·Milton Waner, Teresa M O

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