What pre-operative counselling will you do for the surgery of Cystic Hygroma?

  • Damage to facial, hypoglossal and accessory nerves may be difficult to avoid in case of large  cystic hygroma so a nerve stimulator should be used .
  • Because of the enormous skin stretching and interference to the mandibular branch of the facial nerve a good cosmetic result is difficult to achieve.
  • Excision of excess skin is usually needed
  • Multiple excision may be needed over several years.
  • Intraoral lymphangiomas need external approach and is more extensive than expected.
  • Recurrence rate of Cystic hygroma =10-15% (within 9 months)
  • Recurrence is more with cavernous than of cystic type.
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