[Mixed XXXX : Case report].

@entity1 @entity1012 @entity600 @entity2696 @entity1732 @entity1462 @entity17461
@entity2696 are a common form of @entity1462 of the lymphatic vessels, mainly in the head and neck region. Most cases are progressive evolution and require a multidisciplinary approach. Currently, the first therapeutic option is sclerotherapy, leaving surgery for the treatment of remaining lesions. OBJECTIVE: To present a case of @entity17461 (LM) treated with sclerotherapy, surgery and orthodontics in a 15-year follow up. CASE REPORT: A one-year-old female @entity1 who consulted health professionals due to a progressive volume increase of the soft parts of her right cheek. The imaging study confirmed the diagnosis of @entity600 . It was managed with @entity1012 sclerotherapy and @entity1732 . At 2 years of age, the @entity1 response was considered adequate; an intralesional submandibular surgical excision was then performed, with partial resection of the lesion. The biopsy confirmed the diagnosis of microcystic LM. Six months after, a re-resection was planned using the same approach and removing the remaining lesion, with favorable development until the age of 9 years when the @entity1 required surgery and orthodontic management due to intraoral recurrence. No major developments until the age of 13 when a new orthodontic surgery and handling are planned to perform right oral commissure suspension. CONCLUSION: LM management by sclerotherapy, surgery, and orthodontics has shown the advantages of a multidisciplinary long-term treatment in this case.
