Abstract

A 3-year-old boy was referred to our clinic with swelling of the neck, submandibular region and tongue. The patient had been previously treated in our clinic with local injection of bleomycin. We therefore resected the neck tumor and performed tongue reduction. After the operation, the patient was applied a chin-cap to manage progenia and open bite which were caused by congenital swelling of the tongue. Application of the chin-cap for 3 years brought about cure of the progenia and open bite. At the age of 7 years and 6 months, a huge cystic lymphangioma appeared in the parapharyngeal space. MRI was very effective in allowing us to estimate the characteristics of this cystic lymphangioma of the parapharyngeal space. Fortunately, OK-432 local injection therapy was effective for the lymphangioma, and no recurrence has been noted for 2 years and 3 months.

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