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A case of postoperative nasopharyngeal reflux associated with retropharyngeal lymphangioma in newborn infant

Korean Journal of Pediatrics 2010;53(2):258-261.
Published online February 15, 2010.
A case of postoperative nasopharyngeal reflux associated with retropharyngeal lymphangioma in newborn infant
Kyo Yeon Koo1, Jun Seok Lee1, Soon Min Lee1, Min Soo Park1, Ran Namgung1, Kook In Park1, Chul Lee1, Choon Sik Yoon2, Woo Hee Jung3, Hong Shik Choi4
1Departments of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
2Departments of Radiology, Yonsei University College of Medicine, Seoul, Korea
3Departments of Clinical Pathology, Yonsei University College of Medicine, Seoul, Korea
4Departments of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
수술 후 비인두 역류가 동반된 신생아의 후인두림프관종 1례
구교연1, 이준석1, 이순민1, 박민수1, 남궁란1, 박국인1, 이철1, 윤춘식2, 정우희3, 최홍식4
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 방사선과학교실
3연세대학교 의과대학 병리학교실
4연세대학교 의과대학 이비인후과학교실
Correspondence: 
Min Soo Park, Tel: +82.2-2019-3351, Fax: +82.2-3461-9473, Email: minspark@yuhs.ac
Abstract
Lymphangioma is a rare benign congenital tumor of the lymphatic system, which is commonly diagnosed before 2 years of age. In the natronal report, cystic lymphangioma was usually reported as a huge translucent mass located in the head and neck area. It's occurrence in retropharyngeal space with respiratory obstruction and swallowing difficulty in neonate is extremely rare and postoperative nasopharyngeal reflux has rarely been reported. Complete resection is the standard therapy. However, involvement of the upper airway may be determining prognosis in the extensive lymphangiomas because of the difficulty of complete excision. We present a case of cystic lymphangioma in neonate which was initially asymptomatic but gradually progressed to cause respiratory obstruction due to enlargement. After resection, nasopharyngeal reflux developed with dysfunction of the soft palate and gradually improved with conservative care over 5 months.
Key Words: Cystic Lymphangioma, Deglutination disorder, Excision, Pharyngeal Diseases


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