Comments on the article «Spontaneous regression of a cervical giant cystic lymphangioma»

López Delgado, Irene

doi:10.1016/j.otoeng.2021.06.002

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Type 2 according to the Benjamin-Inglis classification." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina García-Muro, Isabel Sáenz-Moreno, Fernando Gómez-Sáez, Ana Navazo-Eguia" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "García-Muro" ] 1 => array:2 [ "nombre" => "Isabel" "apellidos" => "Sáenz-Moreno" ] 2 => array:2 [ "nombre" => "Fernando" "apellidos" => "Gómez-Sáez" ] 3 => array:2 [ "nombre" => "Ana" "apellidos" => "Navazo-Eguia" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S000165192100090X" "doi" => "10.1016/j.otorri.2021.05.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000165192100090X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573522000394?idApp=UINPBA00004N" "url" => "/21735735/0000007300000003/v1_202205140810/S2173573522000394/v1_202205140810/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Comments on the article «Spontaneous regression of a cervical giant cystic lymphangioma»" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "199" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Irene López Delgado" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Irene" "apellidos" => "López Delgado" "email" => array:1 [ 0 => "irenelopezes@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Quironsalud, Valencia, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentarios al artículo «Regresión espontánea de linfangioma quístico cervical gigante»" ] ] "textoCompleto" => "The recent publication entitled “Spontaneous regression of a cervical giant cystic lymphangioma” describes lymphatic malformations (LM), and errors were found in its nomenclature and classification. This lack of knowledge about LM and vascular anomalies (VA) in general is often found in the literature, implying that professionals make an incorrect diagnosis as well as applying incorrect treatment, affecting the prognosis for these vascular lesions.In 1982 Mulliken and Glowacki published a biological classification of vascular lesions based on the characteristics of the predominant endothelium. In 1992 the International Society for the Study of Vascular Anomalies (ISSVA) was founded in Budapest, with the aim of reaching an agreement among the professionals in different fields of medicine who are in contact with these patients – paediatricians, dermatologists, interventionist radiologists, plastic and vascular surgeons, paediatric surgeons, ear, nose and throat specialists, ophthalmologists, pathologists and geneticists, among others –, with the common aim of improving knowledge of the etiopathogenesis, diagnosis and treatment of patients with VA. Since then this classification has been revised periodically, most recently in 2018.<a class="elsevierStyleCrossRefs" href="#bib0005">1,2</a>VA are divided into tumours and malformations. The most frequent manifestations of the former are haemangiomas. These are usually not present at birth, although usually in premonitory form, and during 10–12 months they grow by hyperplasia, before subsequently undergoing gradual involution during a period that may last from 10 to 12 years. On the other hand, vascular malformations, which have a lower incidence than haemangiomas, are always present at birth (although not visibly). They characteristically grow by hypertrophy caused by different factors (trauma, bleeding, infections or hormonal causes) and they do not completely disappear spontaneously.<a class="elsevierStyleCrossRef" href="#bib0010">2</a> According to the classification of the ISSVA, vascular malformations are classified according to the affected vessel into capillary or small veins, venous, lymphatic, arteriovenous and combined or complex, each one of which has its own clinical peculiarities and defining haemodynamic characteristics.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>There is major confusion about VA, even in the scientific community, and in reference hospitals it is found that more than half of the patients who are referred with vascular anomalies have been incorrectly diagnosed and monitored.<a class="elsevierStyleCrossRef" href="#bib0015">3</a>LM are formed of hyperplastic and aberrant lymphatic vessels, small vesicles and large sacs full of lymphatic fluid which is rich in proteins and eosinophils. Several different types exist, and the common or cystic forms are the most common. They are classified as localized or macrocystic (which are wrongly known as cystic hygroma) or microcystic or diffuse (wrongly denominated lymphangioma, as the suffix -oma refers to a tumour, and is therefore a conceptual error regarding the vascular lesion to be treated), and different types may be combined.<a class="elsevierStyleCrossRef" href="#bib0020">4</a> The overall treatment is conservative for malformations that cause neither symptoms nor recurring infections or cosmetic malformation. If complications arise, treatment is based on sclerotherapy, laser or surgery, and even procedures such as exutero intrapartum treatment (EXIT) when a risk to life is detected in the uterus, such as involvement of the respiratory tract.<a class="elsevierStyleCrossRef" href="#bib0025">5</a>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: López Delgado I. Comentarios al artículo «Regresión espontánea de linfangioma quístico cervical gigante». Acta Otorrinolaringol Esp. 2022;73:199." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Issva.org. 2021. ISSVA classification for vascular anomalies (Approved at the 20th ISSVA Workshop, Melbourne, April 2014, last revision May 2018). [Accessed 30 May 2021]. Available from: <a target="_blank" href="https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf">https://www.issva.org/UserFiles/file/ISSVA-Classification-2018.pdf</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vascular malformations: classification, diagnosis and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "I.M. Carqueja" 1 => "J. Sousa" 2 => "A. Mansilha" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.23736/S0392-9590.18.03961-5" "Revista" => array:6 [ "tituloSerie" => "Int Angiol" "fecha" => "2018" "volumen" => "37" "paginaInicial" => "127" "paginaFinal" => "142" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29424187" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of terminology for vascular anomalies in current literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.H. Hassanein" 1 => "J.B. Mulliken" 2 => "S.J. Fishman" 3 => "A.K. Greene" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/PRS.0b013e3181f95b83" "Revista" => array:6 [ "tituloSerie" => "Plast Reconstr Surg" "fecha" => "2011" "volumen" => "127" "paginaInicial" => "347" "paginaFinal" => "351" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21200229" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pictorial review: vascular anomalies of the head and neck" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.A. Warren" 1 => "M. Gandhi" 2 => "B. Panizza" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Med Imaging Radiat Oncol" "fecha" => "2012" "volumen" => "56" "paginaInicial" => "84" "paginaFinal" => "92" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Special considerations in vascular anomalies: airway management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I.N. Jacobs" 1 => "A.M. Cahill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.cps.2010.08.008" "Revista" => array:6 [ "tituloSerie" => "Clin Plast Surg" "fecha" => "2011" "volumen" => "38" "paginaInicial" => "121" "paginaFinal" => "131" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21095477" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000007300000003/v1_202205140810/S2173573522000400/v1_202205140810/en/main.assets" "Apartado" => array:4 [ "identificador" => "5870" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000007300000003/v1_202205140810/S2173573522000400/v1_202205140810/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573522000400?idApp=UINPBA00004N"]

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Acta Otorrinolaringológica Española, the official publication of the Spanish Society of Otolaryngology and Head and Neck Surgery and the Ibero-American Society of Otorhinolaryngology, is the most important journal in Spanish dedicated to Otorhinolaryngology, which reflects the continuous scientific and technical progress of the specialty. It has become an important tool to be kept up to date. The Journal publishes Original Articles (articles on basic research and clinical investigation), reviews, brief communications, case studies and images, which are subjected to a rigorous peer review process.

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