Spontaneous Regression of Lymphatic Malformation -A Rare Case of Transient Macroglossia

Raksha Ranjan, S. Mehta
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Abstract

Lymphatic malformation (LM) is a rare benign proliferation of dilated lymphatic vessels with inappropriate communication, filled with lymphatic fluid and lined by endothelial cells. Its occurrence is rare in the oral cavity; however, inside the oral cavity most common site is anterior two-thirds on the dorsum of the tongue, presenting as macroglossia. Macroglossia compromises the airway, often leads to obstructive sleep apnea, malocclusion, and speech and mastication difficulty. The main objective of tongue LM treatment is to preserve the taste sensation, restoration of the tongue size for articulation and cosmesis. We report a rare case of transient intermittent macroglossia due to LM. The patient presented with painful swelling of the tongue, relative macroglossia. There was spontaneous regression of LM with antibiotics and corticosteroids. LM can grow suddenly due to infection or hemorrhage and can shrink spontaneously. Upon treatment of the infection, there is spontaneous regression, total or partial. Therefore, expectant management should be considered in the treatment of tongue LM, to preserve the functions of tongue.
淋巴畸形自然消退一例短暂性大舌畸形
淋巴管畸形(LM)是一种罕见的良性增生,淋巴管扩张,不适当的沟通,充满淋巴液,内衬内皮细胞。它发生在口腔是罕见的;然而,在口腔内最常见的位置是舌背的前三分之二,表现为大舌漏。大发音损害气道,常导致阻塞性睡眠呼吸暂停,错颌,语言和咀嚼困难。舌LM治疗的主要目的是保留味觉,恢复舌的大小,以保持发音和美观。我们报告一例罕见的由LM引起的暂时性间歇性大舌缺失。患者表现为舌痛肿胀,相对大舌失联。使用抗生素和皮质类固醇后,LM有自发消退。LM可因感染或出血而突然生长,也可自发萎缩。在治疗感染后,有完全或部分自发消退。因此,在舌LM的治疗中应考虑保守管理,以保持舌的功能。
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