Lymphatic malformation (LM) is a benign cystic entity resulting from aberrant lymphatic drainage. Often evident at birth, most LMs have declared themselves by 2 years of age. They can be concerning when they occur near vital structures such as the airway or orbit. The natural history varies considerable from spontaneous gradual regression to long-term growth and debilitation. Depending on the location, structures involved, and clinical course of the LM, therapeutic options include observation, intralesional sclerosis, laser therapy, and surgical excision. The literature provides guidelines for treatment options that must be carefully applied to the facial region. We present a newborn infant who presented to our institution with giant facial lymphangioma who underwent a combination of sclerosis, laser ablation, and surgery with reconstruction.
From the Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Received October 26, 2010.
Accepted for publication January 8, 2011.
Address correspondence and reprint requests to Louis C. Argenta, MD, Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1075; E-mail: firstname.lastname@example.org
The authors report no conflicts of interest.