Cystic Hygroma Complication and Treatment

Cystic Hygroma

Answer. Cystic Hygroma is also called lymphangioma of the neck cavernous lymphangioma or hydrocele of the neck.

Cystic Hygroma is a congenital cystic swelling, which contains multiple lobules of clear lymph.

“Can Cystic Hygroma Recur After Treatment”

• Cystic Hygroma gets filled up with lymph in the early week of childhood and presents as a large cyst in the lower part of the neck.
• The cyst is not a single cavity but it is a collection of numerous small cysts.
• Their lobules may intercommunicate with one another.
• Each lobule is lined by a single layer of endothelium.
• Cystic hygroma may infitrate into the muscular plane.

Read and learn More Cysts: Types, Causes, Symptoms, and Treatment

“What Tests Diagnose Cystic Hygroma In Babies”

Cystic Hygroma Clinical Features

• Swelling is present at birth in the posterior triangle of neck causing obstructed labor.
• Swelling is smooth, soft, fluctuant (cystic), partially compressible, and brilliantly transilluminant. It is not reducible completely.
• During crying swelling often increases in size.
• Disfigurement of the face of the child is a more worrying factor for the parents.
• Swelling may rapidly increase in size causing respiratory obstruction which is a dangerous sign.
• It may get infected forming an abscess which is a tender, warm, soft swelling. It may cause septicemia which may be life-threatening.
• Rupture with lymph ooze can occur.

“Understanding The Causes Of Cystic Hygroma“

Cystic Hygroma Complication

• Too much enlargement of cystic hygroma may cause respiratory distress.
• Infection, abscess, septicemia
• Surgery itself may cause torrential hemorrhage
• Chylous fitula, chylothorax
• Recurrence of cysts in 15% of cases.

“Effective Ways To Manage Cystic Hygroma Recovery”

Cystic Hygroma Treatment

• Aspiration of the cyst is done. Later on, sac and capsule are thickened by fibrous tissue and are excised.
• Meticulous dissection is done across all planes including deeper muscular ones to clear the entire cyst wall. If it is not done properly chances of recurrence are present.

“Best Practices For Cystic Hygroma Surgical Management“

• If respiratory obstruction is present then tracheostomy is done.
• Under antibiotic coverage drainage of the abscess is done and later on sac is excised.
• Preoperative injection of sclerosants is given and later on firosis develops then excision of entire aggregation of cyst is done.
  In past days boiling water injection is given at 7 days intervals.