Resumen

ROJAS-ROJAS, E Leonardo; LARRARTE-ARENAS, Daniel  y  PAIPILLA-SANDOVAL, Marco A. Microsurgial resection of large facial lymphatic malformation with involvment of the facial nerve in a pediatric patient. Case report. Cir. plást. iberolatinoam. [online]. 2024, vol.50, n.3, pp.351-356.  Epub 22-Nov-2024. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922024000300016.

Lymphatic malformations are a type of vascular anomaly without known malignancy that are present from birth but may be observed later, often but not exclusively in the early years of life, with the most common locations being the cervicofacial, clavicular, and axillary regions. While their clinical significance lies in their aesthetic component, they can also compromise vital structures such as the carotid artery, airway, digestive tract, facial and hypoglossal nerves, and sympathetic chain, rendering them masses that may cause obstruction, mainly ot the airways. Although sclerotherapy is the preferred initial treatment, surgery may be necessary at times to prevent or address airway obstruction through tracheotomy and/or partial resection.

We present the case of a 2-year-old female patient with a congenital mass of large size on the left hemiface and neck, exhibiting progressive enlargement, edema, and erythema, refractory to management with embolization.

We performed microsurgical resection with optical magnification, achieving complete dissection of the facial nerve to preserve it entirely. In clinical follow-up, at 6 years of age, no evidence of nerve compromise or other major complications is observed, and the patient exhibits symmetric hemifacial growth, without apparent recurrences.

Palabras clave : Vascular malformations; Lymphatic abnormalities; Facial nerve; Microsurgery.

        · resumen en Español     · texto en Español     · Español ( pdf )