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Original Article
August 16, 2010

Intralesional Endoscopy of Advanced Lymphatic Malformations of the Head and Neck: A New Diagnostic Approach and a Potential Therapeutic Tool

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery (Drs Eivazi, Teymoortash, Wiegand, Mandic, and Werner), Institute of Pathology (Dr Roessler), and Department of Neuroradiology (Dr Bien), University of Marburg, Marburg, Germany.

Arch Otolaryngol Head Neck Surg. 2010;136(8):790-795. doi:10.1001/archoto.2010.124

Objectives  To evaluate the morphologic properties of advanced lymphatic malformations of the head and neck and to investigate possible therapeutic interventions by intralesional endoscopy.

Design  This case study analyzes the outcome of intralesional endoscopy of lymphatic malformations of the head and neck and discusses the results of this approach.

Setting  Academic medical center.

Patients  Endoscopy was performed on 4 patients with cervicofacial lymphatic malformations.

Interventions  Endoscopy of lymphatic malformations.

Results  The endoscopic inspection and assessment of the lesions revealed detailed information about morphologic aspects like the structure of intralesional septa, internal vascularization, and intercystic correspondence and channel networks. Anatomic landmarks could be followed on their intralesional courses.

Conclusions  Intralesional endoscopy of lymphatic malformations provides insight into the morphologic properties of the lesion and is a useful supplementary tool during conventional surgical intervention and for sclerosing therapy. The technique allows a detailed assessment of these lesions and opens a broad spectrum of therapeutic options.