Orofarengeal Uzanýmlý Parafarengeal Lenfanjiyoma Olgusu

The diagnosis and treatment of lymphangiomas may be difficult according to their localization. 38 year old woman compla-ining from a mass on the left side of her neck causing pain during swallowing and difficulty in feeding vvas determinated. Her physical examination shovved a mass bulging from her left lateral oropharyngeal wall covering with normal mucosa and an un-remarkable margined mass under her left mandible extending through the hyoid bone. The lesion explored by transcervical ap-roach and a cystic lesion extended from the carotid bifurcation through the styloid process adjacent to carotid arteries, internal jugular vein and cranial nerves vvas observed and removed totally. Lymphangioma should be reminded in differential diagnosis of oropharyngeal masses and complete removal of the lesion with preserving adjacent vessels could be performed by meticulo-us evaluation and intraoperative management.

Parapharyngeal Lymphangioma Case with Oropharyngeal Extention

Lenfanjiyomlarýn taný ve tedavisi bulunduðu yere göre zorluk arz eder. Bir yýldýr yutma sýrasýnda aðrý ve beslenme zorluðu ve boyun sol tarafýnda þiþlik nedeniyle baþvuran 38 yaþýndaki kadýn hastanýn yapýlan muayenesinde sol lateral orofarengeal duvardan orofarenks içine uzanan, normal mukoza ile örtülü kitle ve solda angulus mandibula altýndan hiyoid kemiðe kadar uzanan sýnýrlarý net ayýrt edilemeyen kitle lezyon tespit edildi. Lezyon transservikal eksplore edilerek ana karotis arter bifurkasiyo-nundan stiloid çýkýntýya uzanan kistik kitle total eksize edildi. Orofarengeal kitlelerin ayýrýcý tanýsýnda lenfanjiyom akýlda bulundurulmalýdýr. Detaylý preoperatif inceleme ve dikkatli cerrahi ile komþu büyük damarsal yapýlar korunarak komplet rezeksiyon saðlanabilir.