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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 20(4); 1977 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1977;20(4): 47-50.
Clinicopathologic Studies on the Cystic Hygroma
Jin Young Kim MD, and Seong Soo Kim, MD
Department of Otolaryngology, College of Medicine, Seoul National University, Korea
水滑液囊腫에 對한 臨床統計學的 考察
金鎭永 · 金性洙
서울大學校 醫科大學 耳鼻咽喉科學敎室
ABSTRACT

Redenbacher, in 1828, first described cystic hygroma which he termed ranula congenita. There are many debation on the development of lymphatic system and cystic hygroma with centrifugal theory by Sabin and centripetal theory by Huntington. Bill et al believed that there is no sharp dividing line between the lymphangioma simplex, cavernous lymphangioma and cystic hygroma, which were determined by the nature of surrounding tissues. Cystic hygroma is comparatively rare disease with benign over-growth of lymphatic vessels presented at birth or early in childhood and usually located in the neck, and sometimes so large and diffuse that adequate therapy is difficult. We presented clinical feature, management and statistic results with the review of 45 patient examined in S.N.U.H. and literature. Following result was obtained. 1) Male is more affected than female with 2.7 : 1 in lymphangioma and 1.4 : 1 in cystic hygroma. 2) 50 percent of cystic hygroma was noted between the age of 0 to 2 with relative diffuse distribution of age and most of lymphangioma was noted between the age of 5 to 10. 3) The neck was the most commonly involved site of cystic hygroma, follwed by trunk, extremities and head, but in lymphangioma the head is the most common site expecially in the tongue. 4) Cystic hygroma is 3 times more frequent than lymphangioma. 5) Complete surgical removal is believed the choice of treatment in cystic hygroma. 

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