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Long-term symptom control following resection of cervical lymphatic malformations: a case series

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 pr...

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Autores principales: Khanwalkar, Ashoke, Valika, Taher, Maddalozzo, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168981/
https://www.ncbi.nlm.nih.gov/pubmed/32307015
http://dx.doi.org/10.1186/s40463-020-00415-8
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author Khanwalkar, Ashoke
Valika, Taher
Maddalozzo, John
author_facet Khanwalkar, Ashoke
Valika, Taher
Maddalozzo, John
author_sort Khanwalkar, Ashoke
collection PubMed
description 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
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spelling pubmed-71689812020-04-23 Long-term symptom control following resection of cervical lymphatic malformations: a case series Khanwalkar, Ashoke Valika, Taher Maddalozzo, John J Otolaryngol Head Neck Surg Original Research Article 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 BioMed Central 2020-04-19 /pmc/articles/PMC7168981/ /pubmed/32307015 http://dx.doi.org/10.1186/s40463-020-00415-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Original Research Article
Khanwalkar, Ashoke
Valika, Taher
Maddalozzo, John
Long-term symptom control following resection of cervical lymphatic malformations: a case series
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 Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168981/
https://www.ncbi.nlm.nih.gov/pubmed/32307015
http://dx.doi.org/10.1186/s40463-020-00415-8
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