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


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


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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.

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