Long-term symptom control following resection of cervical lymphatic malformations: a case series
Abstract Background Previous literature has reported on the incidence of short-term complications following resection of cervical lymphatic malformations (LMs) in children, however no research has yet investigated the long-term symptomatic course in these patients. This study aims to provide familie...
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SAGE Publishing
2020-04-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-020-00415-8 |
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| author | Ashoke Khanwalkar Taher Valika John Maddalozzo |
| author_facet | Ashoke Khanwalkar Taher Valika John Maddalozzo |
| author_sort | Ashoke Khanwalkar |
| collection | DOAJ |
| description | Abstract Background Previous literature has reported on the incidence of short-term complications following resection of cervical lymphatic malformations (LMs) in children, however no research has yet investigated the long-term symptomatic course in these patients. This study aims to provide families and providers with an understanding of expectations for long-term symptom control, specifically in association with subsequent upper respiratory infections (URIs). Methods A retrospective chart review produced a case series of patients who underwent resection of cervical LM at a pediatric tertiary care center between 2007 and 2016. Demographic data, disease characteristics, operative details, and postoperative care were evaluated. Telephone surveys were conducted to ascertain the course of postoperative symptoms at the surgical site. Results Forty-three patients responded to the telephone survey. Thirty-seven (86.0%) had at least one postoperative surgical site symptom during subsequent URIs, with 28 (65.1%) reporting redness, 34 (79.1%) reporting swelling, and 18 (41.9%) reporting pain. Patients who experienced any of these symptoms universally indicated that they developed soon after the surgical resection, and over half reported that they improved over time. Postoperative seroma was associated with swelling during subsequent URIs (p = 0.04). Patients age 7 or were greater were more likely than those under 7 to report pain with URIs (p = 0.006). All 8 patients with drain placement for at least 2 days reported swelling during subsequent URIs. The incidence of the queried symptoms did not vary significantly based on sex, stage, histology, surgical subsite, or presence of residual disease. Conclusion While preoperative symptoms associated with cervical LMs are also frequently encountered postoperatively, particularly in some patient subgroups, improvement over time should be expected. Level of evidence 4 |
| format | Article |
| id | doaj-art-c37e6f3b123a4eac8c7d2faba240d016 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-c37e6f3b123a4eac8c7d2faba240d0162025-01-02T04:59:13ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-04-014911710.1186/s40463-020-00415-8Long-term symptom control following resection of cervical lymphatic malformations: a case seriesAshoke Khanwalkar0Taher Valika1John Maddalozzo2Department of Otolaryngology Head and Neck Surgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern Feinberg School of MedicineDepartment of Otolaryngology Head and Neck Surgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern Feinberg School of MedicineDepartment of Otolaryngology Head and Neck Surgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Northwestern Feinberg School of MedicineAbstract Background Previous literature has reported on the incidence of short-term complications following resection of cervical lymphatic malformations (LMs) in children, however no research has yet investigated the long-term symptomatic course in these patients. This study aims to provide families and providers with an understanding of expectations for long-term symptom control, specifically in association with subsequent upper respiratory infections (URIs). Methods A retrospective chart review produced a case series of patients who underwent resection of cervical LM at a pediatric tertiary care center between 2007 and 2016. Demographic data, disease characteristics, operative details, and postoperative care were evaluated. Telephone surveys were conducted to ascertain the course of postoperative symptoms at the surgical site. Results Forty-three patients responded to the telephone survey. Thirty-seven (86.0%) had at least one postoperative surgical site symptom during subsequent URIs, with 28 (65.1%) reporting redness, 34 (79.1%) reporting swelling, and 18 (41.9%) reporting pain. Patients who experienced any of these symptoms universally indicated that they developed soon after the surgical resection, and over half reported that they improved over time. Postoperative seroma was associated with swelling during subsequent URIs (p = 0.04). Patients age 7 or were greater were more likely than those under 7 to report pain with URIs (p = 0.006). All 8 patients with drain placement for at least 2 days reported swelling during subsequent URIs. The incidence of the queried symptoms did not vary significantly based on sex, stage, histology, surgical subsite, or presence of residual disease. Conclusion While preoperative symptoms associated with cervical LMs are also frequently encountered postoperatively, particularly in some patient subgroups, improvement over time should be expected. Level of evidence 4http://link.springer.com/article/10.1186/s40463-020-00415-8Lymphatic malformationLymphovascular malformationLymphangiomaLongterm outcomesViral infectionURI |
| spellingShingle | Ashoke Khanwalkar Taher Valika John Maddalozzo Long-term symptom control following resection of cervical lymphatic malformations: a case series Journal of Otolaryngology - Head and Neck Surgery Lymphatic malformation Lymphovascular malformation Lymphangioma Longterm outcomes Viral infection URI |
| title | Long-term symptom control following resection of cervical lymphatic malformations: a case series |
| title_full | Long-term symptom control following resection of cervical lymphatic malformations: a case series |
| title_fullStr | Long-term symptom control following resection of cervical lymphatic malformations: a case series |
| title_full_unstemmed | Long-term symptom control following resection of cervical lymphatic malformations: a case series |
| title_short | Long-term symptom control following resection of cervical lymphatic malformations: a case series |
| title_sort | long term symptom control following resection of cervical lymphatic malformations a case series |
| topic | Lymphatic malformation Lymphovascular malformation Lymphangioma Longterm outcomes Viral infection URI |
| url | http://link.springer.com/article/10.1186/s40463-020-00415-8 |
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