Introduction: Cystic hygroma or lymphangioma occurs because of faulty development of lymph vessels.There is either sequestration or obstruction of the developing vessels.It occurs 1 in 12000 of births every year.
Commonest sites are:
Posterior triangle of the neck
(though it can occur anywhere in the body)
Age at presentation:
It may appear at birth or can rapidly increase in size over first few months of life.Generally it is disease of infants.
swelling at the time of delivery
If the swelling is very large,it can cause compression over the trachea & airway compromise
Principle of surgery:
Total removal of all gross disease without damaging vital structures.
Recurrence rate: 20% with subtotal excision.