maxillofacial lymphangioma
Introduction
Introduction to maxillofacial lymphangioma Lymphangioma is a benign tumor formed by lymphatic developmental malformation. It is common in children and adolescents. It occurs in the tongue, lips, cheeks and neck. It can be divided into capillary type and sponge type according to its clinical manifestations and tissue structure. There are three types of cysts, the capillary type is expanded by lymphatic vessels, and the expanded lymphatic vessels contain lymph fluid; the sponge type lymphatic vessels are more severely cystic; the cystic lymphangioma is more severely expanded. Lymphatic vessels are formed, and their expansion forms a multi-atrial cystic cavity. The cystic cavity is filled with lymph fluid, so this type is also called cystic water tumor. Often congenital, more common in infants and adolescents, occurs in the skin, subcutaneous and mucous membranes, most commonly in the tongue, lips, cheeks, oral mucosa and neck, submandibular area. basic knowledge Sickness ratio: 0.05% Susceptible people: good for children and adolescents Mode of infection: non-infectious Complications: giant tongue opening and closing
Cause
Causes of maxillofacial lymphangioma
1. Lymphatic developmental malformation.
2. Congenital, slow-growing lumps, often with a history of secondary infection.
Prevention
Maxillofacial lymphangioma prevention
The disease is congenital, slow-growing mass, often has a history of secondary infection, so pregnant women pay attention to prevent harmful factors during pregnancy, patients avoid infection and aggravate the condition.
Complication
Maxillofacial lymphangioma complications Complications
Capillary lymphangioma can cause giant lips and giant tongue disease when it invades the lips and tongue, but there is no local color change.
Cavernous lymphangioma often associated with tubular lymphangioma and giant tongue, can cause jaw deformity, opening and closing, reversing, tooth displacement, occlusion disorder and so on.
Symptom
Maxillofacial lymphangioma symptoms Common symptoms Giant mouth muscle and neck muscle tension
First, capillary type
1. There are small round cystic nodular or punctate lesions on the skin or mucous membrane, and the appearance is "frog egg".
2. Colorless, soft, unclear border, no compression.
Second, sponge type
The tumor resembles a sponge and is characterized by hypertrophy of the invaded tissue, such as giant tongue and giant lip.
Third, cystic water tumors are mostly located above the neck of the clavicle, soft and fluctuating, skin color is normal, body position test is negative.
Examine
Examination of maxillofacial lymphangioma
1. For the capillary type and sponge type, it is easier to check the project to check the frame limit "A".
2. For the cystic water tumor examination project, the inspection limits "B" and "C" may be included.
Diagnosis
Diagnosis and diagnosis of maxillofacial lymphangioma
diagnosis
1. Appearance characteristics of the tumor (giant tongue, giant lip, "frog egg" shape, etc.).
2. The deep lymphangioma is a soft mass, no tenderness, no compression, and the puncture can absorb light yellow liquid.
3. Histopathological examination confirmed the diagnosis.
Differential diagnosis
Should be differentiated from cleft palate
1. Cystic hydromas are common in infants and young children. The mass is larger than that of the cleft palate. The puncture is transparent and pale yellow water-like liquid. This feature can be distinguished from the cleft palate.
2. Cavernous hemangioma occurs in the cervical area of the cavernous hemangioma sometimes confused with the cleft palate cyst, the superficial position of the surface of the skin is blue, the position is deep in the colorless change, but the hemangioma is more compressive, It may be characterized by venous stones, tumor enlargement when bowing, etc. Puncture into blood, which is the most important identification point.
