ISSN 1612-3352

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Prof. Dr. Claus F. Claussen, Neurootological Research Institute of the Research Society for Smell, Taste, Hearing and Equilibrium Disorders at Bad Kissingen (4-G-F). Bad Kissingen, Germany.
Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.

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Dr. med. Julia M. Bergmann,
Dr. med. Guillermo O. Bertora,
Otoneuroophthalmological Neurophysiology,
Buenos Aires, Argentina.


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Hygroma. Report, a Case

Abstract

Cystic hygroma was first described in 1828 and referred to as a “moist tumor.Today, this benign developmental tumor is recognized as a lymphatic malformation (also known as a lymphangioma).Cystic hygroma is a benign lymphatic malformation representing 5% to 6% of all benign tumors and 1% of all tumors (benign and malignant). Most (90%) cystic hygromas will manifest by age two, although there are reported cases in the literature of cystic hygroma presenting in adults.Cystic hygromas are among the most common congenital neck masses. The symptoms initial can be asymptomatic, painless lesion unless infected or bleeding progression: Continues to increases in size, 90% symptomatic by age 2 years. They have a predilection for the left posterior triangle and manifest early in life. Although various locations of cystic hygromas are found in the literature, distribution: Neck (60%), other locations : Chest Wall, Mediastinum, Axilla; Rare locations: Inguinal región and retroperitoneal region.. Pathophysiology the Congenital lymphatic malformation can be a Lymphatic vessel fails to connect and drain. Surgical excision is the treatment of choice, but injection of a sclerosing agent into the cyst is an alternative procedure Pregnancies complicated by fetal cystic hygroma in the second and third trimesters are often associated with hydrops fetalis, oligohydramnios or intrauterine fetal death which may make genetic assessment more difficult. The results in large multiloculated cyst sometimes are associated conditions: Turner’s Syndrome, Noonan’s Syndrome, Down Syndrome.1-4
The diagnosis must be early, a Hygroma is key to preventing its serious consequences. Unfortunately, early detection of this is sometimes difficult, because the symptoms may be subtle and may not appear in the beginning stages of growth. Also, headache, hearing loss, dizziness, and tinnitus are symptoms of any inner ear problems. Therefore, once the symptoms appear, a thorough ear examination and hearing test are essential the study the vestibular function through of vestibuloespinal, retinoocular, vestibuloocular systems in the Cranio-Corpo-Graphy (CCG), the Test of Balance(TOB) and the Computarized Electronystagmography (CNG). in order to determine and orientate a better vestibular diagnosis.Computerized Tomography(CT) and Magnetic Resonance Imaging (MRI) are helpful in determining the location and size of a hygroma and also in planning its removal.Hygroma Report a case

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