Anaesthetic Management in a Case of Recurrent Cystic Hygroma

Namrata Shah, Juhi Shah, Ishan Bhavsar, Payal Yadav, Aarti Vaghasia

Abstract: Cystic hygroma is a congenital malformation of the lymphatic system that manifests itself as a soft, benign, and painless mass. They arise from the remnants of embryonic lymphatic tissue which retains the potential for proliferation. They occur almost at any anatomical site. However, 75-80 % cystic hygromas are located in the head and neck region. Anaesthetic management of airway may be challenging in neonates and young infants with large neck mass and macroglossia because these patients are at risk of sudden complete airway occlusion resulting in hypoventilation and hypoxemia. Here we discuss anaesthetic management in patient of recurrent cystic hygroma.

Keywords: Recurrent Cystic hygroma, difficult airway, lymphangioma, macroglossia, pediatric anaesthesia