開こうを伴った舌リンパ管腫の１例

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  • A case of lymphangioma of the tongue associated with open bite.

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Lymphangioma, an anpmaly of the lymphatic vessels, is relatively rare in the oral cavity and usually presents clinically before the ae of 10 years. Diffuse lymphangioma of the tongue causes macroglossia, which affects the development of jaw and face.<BR>We describe a 7-year-old female diagnosed as lymohangioma of the tongue. Oral examination revealed a diffuse growth with numerous vesicles on the surface of the tongue. The tongue protruded and caused an open bite.<BR>Partial glossectomy by Egyedi and Obwegeser's method was performed for the treatment of macroglossia. Microscepic examination showed numerous dilated lymohatic vessels lined by endothelial cells in the tongue lesion. These features were consistent with a diagnosis of carvenous lymphangioma.<BR>Hypesthesia and hypogeusia of the tongue disappeared and dysarthria was improved as of 11 months after surgery. However, the open bite, which was attributed to the denture pattern rather than the skeletal pattern according to the analysis of the lateral cephalogram, has not been improved.

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