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ANATOMICAL, CLINICAL AND THERAPEUTIC CONSIDERATIONS REGARDING

LYMPHANGIOMAS IN CHILDREN
O. CIOBANU1; 2 , A. ZAVATE1;2, E. CÂRSTOIU2, J. KAMEL2, I. PURCARU2, A. SCARLAT2, M. CIUCĂ2, C.
SABETAY2, CRISTINA PLEȘEA2
1
UMF CRAIOVA – PEDIATRIC SURGERY AND ORTHOPEDICS DISCIPLINE
2
PEDIATRIC SURGERY DEPARTMENT – CRAIOVA COUNTY EMERGENCY CLINIC HOSPITAL
Universitatea de Medicină şi Farmacie Craiova
Clinica de Chirurgie-Ortopedie Pediatrică

Cystic cavities with transparent, yellow/hematic, filamentous serosity, and a


thin, flaccid membrane

infection

Outcome possibilities:

Intracystic hemorrhage
(after trauma)
The Surgical Treatment
• Early in the first days after birth = SURGICAL EMERGENCY

• The newborn tolerate major operations well in the first 24 hours


after birth

• Complex surgery requiring IOT and intensive resuscitation

• Iterative interventions (in case of incomplete removal, or relapses)

• ± Drenaj
Landmarks for the Surgical technique

skin

spinal nerve

facial nerve

vague nerve

hypoglossal nerve

vessels
BETWEEN 2013 AND 2022, 107 CASES OF HEMANGIOMAS AND 9 CASES OF LYMPHANGIOMAS WERE TREATED IN THE PEDIATRIC SURGERY AND
ORTHOPEDICS DEPARTMENT;

Hemangioma Lymphangioma
Gender distribution

Chart Title

44.
44
%

55.
56
%

masculin feminin

there is a slight predominance of the female sex


AGE DISTRIBUTION OF THE CASES

Chart Title
18.18%
27.
27
%

54.
55
%

0 - 3 years 4 - 7 years 8 - 16 years


55.56%

44.44%

no associated malformations associated malformations

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