Successful treatment of intraorbital lymphangioma with tissue fibrin glue

Surgical Neurology Pub Date : 2009-12-01 DOI:10.1016/j.surneu.2009.04.013

Aiko Hayasaki MD, Hideo Nakamura MD, PhD, Tadashi Hamasaki MD, PhD, Keishi Makino MD, PhD, Shigetoshi Yano MD, PhD, Motohiro Morioka MD, PhD, Jun-ichi Kuratsu MD, PhD

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引用次数: 17

Abstract

Background

Although surgical resection is the first treatment choice in patients with cystic lymphangioma, the complete resection of orbital lymphangioma is often difficult. After partial resection of the cyst wall, some cystic lymphangiomas recur. The injection of tissue fibrin glue may prevent the recurrence of orbital lymphangioma.

Case Description

We present a 2-year-old girl with left progressive exophthalmos. Magnetic resonance imaging revealed a cystic mass lesion behind the left eyeball. At the first operation, the cyst wall was partially resected, and all cyst fluid was totally removed by suction. One week after the first operation, the cyst showed regrowth. At a second procedure, we injected tissue fibrin glue into the cyst. The cyst was completely sealed, and there was no recurrence.

Conclusion

Tissue fibrin glue is adhesive and hemostatic and highly useful in the treatment of orbital cystic lymphangioma.

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组织纤维蛋白胶成功治疗眶内淋巴管瘤

虽然手术切除是囊性淋巴管瘤患者的首选治疗方法，但眶淋巴管瘤的完全切除往往是困难的。部分切除囊壁后，一些囊性淋巴管瘤复发。注射组织纤维蛋白胶可预防眼眶淋巴管瘤复发。病例描述:我们报告一名2岁女童左进行性突出眼。磁共振成像显示左眼球后方有囊性肿块。第一次手术部分切除囊肿壁，全部吸出囊肿液。第一次手术后一周，囊肿再次生长。在第二次手术中，我们将组织纤维蛋白胶注射到囊肿中。囊肿完全封闭，无复发。结论组织纤维蛋白胶在眼眶囊性淋巴管瘤的治疗中具有良好的粘附性和止血作用。

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Surgical Neurology 医学-临床神经学

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