Oral and maxillofacial capillary lymphangioma
Introduction
Introduction of oral and maxillofacial capillary lymphangioma Oral and maxillofacial capillary lymphangioma is a small lymphoid cystic nodular or punctate lesion that is filled with lymph in the capillary lymphatic vessels and presents isolated or multiple scattered on the skin or mucous membrane. It is colorless and soft. Generally no compression, the tumor boundaries are unclear. Lymphangioma of the oral mucosa sometimes coincides with hemangioma, and yellow and red blister-like protrusions, called lymphangiomas. The treatment of oral and maxillofacial capillary lymphangioma is mainly surgical resection, which can be resected in a larger range of tumors. Surgical treatment is suitable for all types of lymphangioma and is the most important treatment. However, because lymphangioma is a benign tumor, patients with large lesions and extensive organs should be partially resected or formally removed to avoid deformity of normal tissues. For residual tumors, other treatments such as secondary surgery, sclerotherapy and pingyangmycin injection may be considered. basic knowledge Sickness ratio: 0.05% Susceptible people: no specific population Mode of infection: non-infectious Complications: opening and closing Spongiform lymphangioma Cystic lymphangioma
Cause
Oral and maxillofacial capillary lymphangioma etiology
1. Lymphatic developmental malformation.
2. A congenital slow-growing mass often has a history of secondary infection.
Prevention
Oral and maxillofacial capillary lymphangioma prevention
The disease is congenital, slow-growing mass, often with a history of secondary infection. Therefore, pregnant women should pay attention to prevent harmful factors during pregnancy. Patients avoid infection and aggravate the condition.
The disease is mostly due to the developmental malformation caused by the early developmental stage of lymphatic vessels. Therefore, there are no effective preventive measures, pay attention to health, do a good job of safety protection, prepare for pregnancy before pregnancy, prevent health during pregnancy and pregnancy, and reduce and avoid adverse factors. Stimulation and accidental injury can play a preventive role. In addition, early detection, early diagnosis and early treatment are also the key to the prevention and treatment of this disease. In case of onset, active treatment should be actively treated to prevent complications.
Complication
Complications of oral and maxillofacial capillary lymphangioma Complications of cavernous lymphangioma cystic lymphangioma
Giant lips and giant tongue, jaw deformity, opening and closing, reversing, tooth displacement, occlusion disorder.
The tumor is prone to concurrent infection and the tumor body suddenly increases, the tension is increased, and the surrounding organs are pressed to cause serious fruit.
Capillary lymphangioma can cause giant lips and giant tongue disease when it invades the lips and tongue. However, local colorless changes. Cavernous lymphangioma often combined with tubular lymphangioma and giant tongue can cause jaw deformity and opening and reversing tooth displacement occlusion. Disorders, etc. Common complications:
1. Simple lymphangioma: common extremities, scrotal skin, oral mucosa, thick-walled vesicles, sputum-like protrusions, pale yellow, reddish or purplish red when mixed with small blood vessels. The skin between the lesions is normal, painless and itchy. Occurred in the tongue, a giant tongue disease.
2. Spongiform lymphangioma: can occur on the body surface or in deep tissues. The localized person has an irregular soft mass, which is unclear and has no tenderness. It is diffuse in the limbs, limb hypertrophy, bone hypertrophy, and rubbery swelling. Occurred in the lips and lips, there are giant tongues, giant lips.
3. Cystic lymphangioma: the most common in clinical practice, the neck accounted for 3/4. The local part is a soft cystic mass with a sense of undulation and a positive light transmission test. The tumor and the skin have no adhesion, the growth is slow, and the infected person has symptoms of infection. The tumor in the cyst is suddenly enlarged, the tension is increased, and the color is blue-purple. Growing in the mouth, throat or mediastinum can compress the tracheal esophagus, causing respiratory distress and eating difficulties, and even life-threatening.
Symptom
Oral and maxillofacial capillary lymphangioma symptoms Common symptoms Nodular facial skin with nodular hyperplasia cystic mass
Isolated on the skin or mucous membranes, isolated or multiple scattered small round cystic nodular or punctate lesions, colorless, soft, non-compressive, and tumor borders.
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) It is colorless, soft, unclear, and non-compressible.
2. Sponge type
The tumor resembles a sponge and is characterized by hypertrophy of the invaded tissue, such as giant tongue and giant lip.
3. cystic water tumor
Mostly located above the neck of the clavicle, soft and fluctuating, the skin color is normal, the puncture can absorb the pale yellow liquid, and the position movement test is negative.
Examine
Examination of oral and maxillofacial capillary lymphangioma
1. Superficial lymphoma is generally diagnosed according to symptoms and signs.
2. Positive light transmission test is helpful for the diagnosis of cystic lymphangioma.
3. Diagnostic puncture to extract clear and slightly yellow lymph.
4. B-ultrasound, CT showed cystic mass, and can understand the relationship between lymphangioma and surrounding tissues.
Diagnosis
Diagnosis and diagnosis of oral and maxillofacial capillary lymphangioma
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
It is differentiated from oral and maxillofacial tumors and oral and maxillofacial cysts.
