Lymphatic malformation in the masseter muscle. Case report
Any OGANIAN, Nikolaos KECHAGIAS, Lambros ZOULOUMIS
Oral and Maxillofacial Surgery Clinic, Dental School, Aristotle University of Thessaloniki and “G. Papanikolaou” General Hospital. Thessaloniki, Greece. (Head: Professor K. Antoniadis)
Hellenic Archives of Oral & Maxillofacial Surgery (2013) 2, 113-117
SUMMARY: Introduction: Lymphatic malformations are rather rare benign lesions that can occur anywhere in the human body originating from the lymphatic system. The vast majority of these lesions (approximately 75%) develop in the head and neck region, with the tongue being the most common intraoral site of occurrence. They are usually identified early, during the first two years of an individual’s life, with both genders being equally affected. Their surgical removal is the treatment of choice. Case report: the case of a 43-year-old female patient with a lymphatic malformation within the left cheek is presented. Treatment was surgical removal with an intraoral approach. The importance of this case lies in the rare occurrence site of the lymphatic malformation, inside the masseter muscle, as well as in the patient’s age, which was above what is typically reported in this type of lesions.
KEY WORDS: lymphatic malformation, masseter muscle, surgical procedure.
Αγγελόπουλος Α, Παπανικολάου Σ, Αγγελοπούλου Ε: Όγκοι αγγειακής προέλευσης. Στο βιβλίο: Σύγχρονη Στοµατική και Γναθοπροσωπική Παθολογία. Ιατρικές Εκδόσεις Λίτσας, 3η έκδοση, σελ 395-396, 2000
Adams MT, Saltzman B, Perkins JA: Head and neck lymphatic malformation treatment: a systematic review. Otolaryngol Head Neck Surg. 147(4):627-39, 2012
Amouri M, Masmoudi A, Boudaya S. et al.: Acquired lymphangioma circumscriptum of the vulva. Dermatology online journal 13 (4): 10, 2007
Brennan TD, Miller AS, Chen SY: Lymphangiomas of the oral cavity: a clinicopathologic, immunohistochemical, and electron-microscopic study. J of Oral and Maxillofac Surg 55: 932-935, 1997
Giguère C, Bauman N, Smith R: New treatment options for lymphangioma in infants and children. The Annals of Otology, Rhinology, and Laryngology 111 (12 Pt 1): 1066–75, 2002.
Grasso D, Pelizzo G, Zocconi E, and Schleef J: Lymphangiomas of the head and neck in children. Acta Otorhinolaryngol Ital. 28(1): 17– 20, 2008
Kaban L, Mulliken J: Vascular anomalies of the maxillofacial region. J Oral Maxillofac Surg. 44(3):203-13, 1986
Kim J, Yoo K, Moon K, Park K, Chung Y, Kim KO, Park C, Hahn T. et al: Gallbladder lymphangioma: a case report and review of the literature. World J Gastroenterol. 14;13(2):320-3, 2007
Mulliken J, Glowacki J: Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg. 69(3):412-22, 1982
Schoinohoriti O, Theologie-Lygidakis N, Tzerbos F, Iatrou I: Lymphatic malformations in children and adolescents. J Craniofac Surg. 23(6):1744-7, 2012 Schwartz RA, Patel GA: Cutaneous lymphangioma circumscriptum: frog spawn on the skin. Int J Dermatol. 48(12):1290-5, 2009
Weingold D, White P, Burton C: Treatment of lymphangioma circumscriptum with tunable dye laser. Cutis; cutaneous medicine for the practitioner 45 (5): 365–6, 1990