Home Diseases & Conditions Head and Neck
Head and Neck

Lymphangioma: Symptoms, Causes, Diagnosis & Treatment in Patna, Bihar, India

What is Lymphangioma?

Lymphangioma is a rare birth defect of the lymphatic system. It’s an abnormality that results in tissue swelling due to the collection of lymphatic vessels, forming fluid-filled or cyst-like masses. Lymphangioma is either present at birth or develops in the first couple of years of life. As is the case with most birth defects of the head and neck region, the lump caused by the lymphangioma may, depending on the degree of development, obstruct breathing, eating, and speech, and cause deformity. Lymphangioma is benign (non-cancerous); however, it may grow slowly over time or enlarge suddenly when associated with infection or bleeding within the mass. Some masses are small and are painless, but very large ones can compromise the airway, tongue, throat, or salivary glands. A good early examination and an ENT evaluation are essential to determine the extent and type, and subsequent management is guided by these factors and symptoms. Modern imaging technologies and treatments offer a range of options that yield highly favorable functional and cosmetic outcomes for most children and adults.

Lymphangioma

What Causes Lymphangioma?

Lymphangioma results from abnormal development of the lymphatic vessels. This is why the problem is congenital.

Possible Contributing Factors:

  • Birth defect involving the lymphatic system
  • Poor lymphatic drainage
  • Developmental abnormalities during pregnancy

Lymphangioma is congenital, so it cannot be caused by infection or lifestyle-related factors.

What are the Symptoms Lymphangioma?

Symptoms depend on the size of the lymphangioma, its location, the extent of its invasion, and whether any infection or bleeding has occurred.

Symptoms may include:

  • Soft swelling in the neck
  • Painless, fluid-filled, lump or cyst-like swelling
  • Gradually increasing neck lump.
  • Difficulty with swallowing due to compression on the airway
  • Shortness of breath (difficulty breathing) as a result of airway compromise
  • Snoring or problems with sleep
  • Difficulty speaking (articulation) when large

If infection or bleeding has occurred, the swelling can appear to increase quite suddenly.

Types of Lymphangioma

Lymphangiomas are categorized according to the size of the lymphatic channels:

  • Macrocystic Lymphangioma – It is characterized by large, fluid-filled cysts that can develop anywhere in the head and neck, but are most common in the neck.
  • Microcystic Lymphangioma – There are small lymphatic channels that typically lie in the deeper structures of the face, neck, and armpit (axilla).
  • Mixed Lymphangioma: a combination of macrocystic and microcystic forms.
  • Cystic Hygroma –
    • This is another term often used to describe macrocystic lymphangioma of the neck. It is common in babies, occurring in up to 1 in 66 pregnancies, and is often noted at birth.
    • Knowing the type is important for treatment management.

How Lymphangioma Diagnosed?

Diagnosis of lymphangioma will be based on assessment of the lesion’s extent, size, and location.

Methods for the Diagnosis of Lymphangioma:

  • Detailed history and physical examination
  • Ultrasound examination of the neck swelling
  • CT and MR Scan of the neck or relevant area
  • FNAC or fluid aspiration (where appropriate)
  • Airway and swallowing assessment may be necessary.

The investigation will assist the ENT specialists in planning safe and appropriate management.

Treatment Options for Lymphangioma

The size of the lymphangioma and the severity of the symptoms will determine the treatment method.

Observation

In many cases where a small, symptomless lump is present, observation is all that is required.

Medical & Supportive Care

If the lymphangioma becomes infected, this should be treated appropriately with antibiotics. Severe or life-threatening swelling or breathing problems require admission to the hospital for monitoring and support, such as intubation.

Sclerotherapy

This is a treatment in which specialized medication is injected into the lesion to help shrink the abnormally formed lymphatic spaces. This may require more than one procedure and should be performed by a doctor experienced in these treatments.

Surgery

In most cases, when the symptoms are severe (e.g., impacting breathing or feeding), surgery is required. Large lumps are often too large to be removed completely in a single procedure, and they can also pose a risk of recurrence after removal of abnormal tissue.

Aims of the Operation:

  • Remove all abnormal lymphangioma tissues.
  • Achieve relief from pressure on the airway/swallowing difficulties.
  • Minimize the cosmetic result after removal.
  • Achieve the best outcome and minimize the chance of recurrence.

Nowadays, the treatments employed in surgical procedures for lymphangiomas of the head and neck region make them far safer, with less post-operative morbidity. Modern methods, such as minimally invasive surgical techniques and image-guided therapies, play an integral role in the successful removal and management of lymphangiomas.

What are the complications of untreated Lymphangioma?

If treatment for lymphangioma is delayed or if lymphangioma is left untreated, there is a greater likelihood of complications arising:

  • Problems with airway compromise/ obstruction
  • Problems with feeding/ swallowing
  • Recurrent infection
  • Bleeding within the mass
  • Disfigurement of the face or neck
  • Breathing or speech problems

The sooner an early intervention is provided, the lower the risk of long-term complications.

How Lymphangioma Prevented?

Lymphangioma is not usually preventable, as it is congenital, but its consequences can be.

How to Help with Prevention?

  • Seek immediate medical attention for any lump found on a baby’s or child’s neck.
  • Observe the lump over time for an increase in size. If the size grows very rapidly, then contact a doctor.
  • See an ENT doctor about your symptoms and discuss any particular concerns.
  • Attend follow-up appointments on time.
  • Undergo treatment of the associated infection.

Living With the Lymphangioma

Most children and adults with lymphangioma enjoy a healthy life after treatment, with ongoing monitoring by a doctor or consultant specialist.

Important tips for the patients and parents are:

  • Always monitor the lump over time and note any significant increases in size.
  • Get to see the doctor for any acute changes to breathing or swallowing.
  • Continue to attend the reviews you are given by a doctor or consultant.
  • Take precautions to avoid bumping the lump, as trauma can make it grow larger.
  • Be confident to visit an ENT for regular check-ups.

Why choose LIKITA ENT Hospital for Lymphangioma Treatment in Patna, Bihar, India?

Likita ENT Hospital offers safe and effective Lymphangioma Treatment in Patna, Bihar, India, at an affordable cost. Our team of experienced ENT specialists provides accurate examination and diagnostic assessment to identify the size, location, and extent of the lymphangioma and evaluate its effect on nearby structures. Treatment is tailored according to the patient’s age, size and location of the lesion, symptoms, growth, and individual needs, with appropriate care provided for children and adults. When required, our ENT specialists can manage associated neck swelling, difficulty breathing or swallowing, infection, pain, or compression of nearby structures and recommend suitable treatment options, including observation, sclerotherapy, or surgical removal when appropriate. With advanced ENT diagnostic facilities, experienced specialists, and a patient-focused approach, Likita ENT Hospital is committed to providing safe, precise, and comfortable Lymphangioma Treatment in Patna, Bihar, India.

To seek an Expert Consultation for Lymphangioma Treatment in Patna, Bihar, India:

+91 8797863384 contact@patnaent.com
Related Conditions

More in Head and Neck