Case Series
Volume 3 Issue 2 - 2020
Obstructive Intra-Parotid Cystic Lymphangioma in Child: About Two Malagasy Cases
Patrick Maholisoa Randrianandraina1*, Heritsilavo Eloi Ramilison2, Aina Herivala Rakotomananjo3, Njakasoa Pascal Ramarozatovo4 and Fanomezantsoa Andriamparany Rakoto5
1Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Mahajanga, Madagascar
2Department of Otorhinolaryngology, University Hospital of Antsiranana, Madagascar
3Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Toamasina, Madagascar
4Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Antananarivo, Madagascar
5Faculty of Medicine, University of Antananarivo, Madagascar
*Corresponding Author: Patrick Maholisoa Randrianandraina, Department of Otorhinolaryngology Head and Neck Surgery, University Hospital of Mahajanga, Madagascar.
Received: December 23, 2019; Published: January 24, 2020




Abstract

Objective: To report the clinical manifestations and the methods of taking charge of this pathology from two cases observed at the Mahajanga University Hospital.

Observation: The first case was a 3-year-old child referred for a right parotid swelling progressing from birth. This benign, non-inflammatory tumor was associated with sleep apnea episodes. Echography investigation confirmed the diagnosis of a parotid gland cyst, a surgical excision was carried out with simple follow-ups.

The second case was a 1 month old infant referred for suspected right parotitis. It was a non-inflammatory parotid swelling, gradually increasing in volume, with no other symptoms. The cervical scanner confirmed an intra-parotid cystic mass. After two months of monitoring, the tumor increased in size and episodes of sleep apnea appeared. Surgical excision was performed.

Conclusion: The diagnosis of intra-parotid cystic lymphangiomas is suspected by clinic examination. The natural evolution of the tumor can cause airway obstruction. Its parotid location complicates its management because this gland is transfixed by the facial nerve, thus increasing the risk of nerve damage during surgery. However, faced with the vital risk of obstruction of the airways, the surgery remains life-saving.

Keywords: Surgery; Facial; Cystic Lymphangioma; Parotid

References

  1. Miloundjaa J., et al. "Lymphangiomes kystiques cervicofaciaux de l’enfant". Annale D’otorhinolaryngologie et Chirurgie Cervico-Faciale 124.6 (2007): 277-284. 
  2. Khamassi K., et al. "Lymphangiome kystique de la parotide". Pan African Medical Journal 20 (2015): 443. 
  3. Hartl D., et al. "Extensive lymphangiome presuting with upper airway obstruction". Archive Otolaryngology Head and Neck Surgery 126 (2000): 1378-1382. 
  4. Berri T., et al. "Large cystic lymphangioma of the parotid gland in the adult". Egyptian Journal of Ear, Nose, Throat and Allied Sciences 15.3 (2014): 259‑261. 
  5. Pierrot S., et al. “Lymphhangiomes cervicofaciaux: imagerie, diagnosic et traitement”. Encyclopédie Medico Chirurgicale Oto-Rhino-laryngologie 20 (2011): 860. 
  6. Rakotosamimanana J., et al. "Lymphangiome kystique cervico-médiastinal: à propos d’un cas et revue de la littérature". Archives de l'Institut Pasteur de Madagascar 66 (2000): 61-64. 
  7. Chinnakkulam Kandhasamy S., et al. "Adult Cystic Lymphangioma of the Parotid Gland: An Unwonted Presentation". Cureus 10 (2018): e2644. 
  8. Gold L., et al. "Characterization of maxillofacial soft tissue vascular anomalies by ultrasound and color Doppler imaging: an adjuvant to computed tomography and magnetic resonance imaging". Journal of Oral and Maxillofacial Surgery 61 (2003): 19-31. 
  9. Tessier N. "Lymphangiomes cervicofaciaux: imagerie, diagnostic et traitement". Encyclopédie Medico Chirurgicale Oto-Rhino-laryngologie 12 (2017): 1-15. 
  10. Shah G., et al. "Lymphatic malformation in adult patient: a rare case". Journal of Oral and Maxillofacial Surgery 9 (2010): 284-288.
Citation: Maholisoa Randrianandraina., et al. “Obstructive Intra-Parotid Cystic Lymphangioma in Child: About Two Malagasy Cases”. EC Clinical and Medical Case Reports 3.2 (2020): 01-06.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


April Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the April issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before April 22, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk