If the lymphangioma is -small, cosmetically and functionally acceptable then observation and no treatment is required. Broomhead(1964) proposed 15% have spontaneous regression.
Repeated aspiration
- To relieve from rapid growth in size causing pressure symptoms
- Awaiting definitive treatment.
If supraglothc involvement: debulk by endoscopic vaporization using a CO2 laser.
Sclerotherapy: ultrasound Guidance
- Aspiration and the installation of sclerosant.
- Sclerosants are:
- Bleomyin
- Tetracyclines
- Alcohols
Doxycycline: A concentration of 10mg/ml doxycycline used via catheter in 3 instillation with a dose range of 50 to 500 mg/session
- useful for macro cystic.
- It can also be given as injection through the access needles.
