Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue

Abstract Background This study aims to investigate whether indocyanine green lymphography (ICGL) facilitates the effectiveness and accuracy of current management of lingual microcystic lymphatic malformation (mLM). Methods This retrospective included patients under 18 years old with mLM of the tongu...

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Main Authors: Tao Han, Lijun Shi, Songming Huang, Weimin Shen
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Head & Face Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13005-025-00529-2
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author Tao Han
Lijun Shi
Songming Huang
Weimin Shen
author_facet Tao Han
Lijun Shi
Songming Huang
Weimin Shen
author_sort Tao Han
collection DOAJ
description Abstract Background This study aims to investigate whether indocyanine green lymphography (ICGL) facilitates the effectiveness and accuracy of current management of lingual microcystic lymphatic malformation (mLM). Methods This retrospective included patients under 18 years old with mLM of the tongue staged I or IIA, who underwent ICGL-aided surgical resection and sclerotherapy (ICGL group) or only surgical resection and sclerotherapy (non-ICGL group) between January 2019 and June 2024. The peri- and postoperative parameters of safety and feasibility were compared between two groups. Results A total of 42 patients were included, 19 of whom received ICGL-guidance and the other 23 were in non-ICGL group. The comparison of baseline data between the two groups revealed no significant difference. Compared to the non-ICGL group, the ICGL group demonstrated superior efficacy (P = 0.017) and required fewer subsequent treatment sessions (P = 0.027), but had longer operative duration (P = 0.001). No significant differences were observed in terms of postoperative complications, length of hospital-stay, and follow-up period. Conclusions ICGL was associated with improved postoperative outcomes and less subsequent treatment. This technique may provide rational guidance with promising clinical prospects for management of mLM of the tongue. Trail registration This study was retrospectively registered on clinicaltrials.gov: NCT06755905, date of registration: January 20, 2025.
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spelling doaj-art-093eac66883947db9dbf30b38d83f69e2025-08-20T03:06:09ZengBMCHead & Face Medicine1746-160X2025-07-012111810.1186/s13005-025-00529-2Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongueTao Han0Lijun Shi1Songming Huang2Weimin Shen3Department of Burns and Plastic Surgery, Children’s Hospital of Nanjing Medical UniversityDepartment of Burns and Plastic Surgery, Children’s Hospital of Nanjing Medical UniversityDepartment of Nephrology, Children’s Hospital of Nanjing Medical UniversityDepartment of Burns and Plastic Surgery, Children’s Hospital of Nanjing Medical UniversityAbstract Background This study aims to investigate whether indocyanine green lymphography (ICGL) facilitates the effectiveness and accuracy of current management of lingual microcystic lymphatic malformation (mLM). Methods This retrospective included patients under 18 years old with mLM of the tongue staged I or IIA, who underwent ICGL-aided surgical resection and sclerotherapy (ICGL group) or only surgical resection and sclerotherapy (non-ICGL group) between January 2019 and June 2024. The peri- and postoperative parameters of safety and feasibility were compared between two groups. Results A total of 42 patients were included, 19 of whom received ICGL-guidance and the other 23 were in non-ICGL group. The comparison of baseline data between the two groups revealed no significant difference. Compared to the non-ICGL group, the ICGL group demonstrated superior efficacy (P = 0.017) and required fewer subsequent treatment sessions (P = 0.027), but had longer operative duration (P = 0.001). No significant differences were observed in terms of postoperative complications, length of hospital-stay, and follow-up period. Conclusions ICGL was associated with improved postoperative outcomes and less subsequent treatment. This technique may provide rational guidance with promising clinical prospects for management of mLM of the tongue. Trail registration This study was retrospectively registered on clinicaltrials.gov: NCT06755905, date of registration: January 20, 2025.https://doi.org/10.1186/s13005-025-00529-2Indocyanine green lymphographyMicrocystic lymphatic malformationTongueChildren
spellingShingle Tao Han
Lijun Shi
Songming Huang
Weimin Shen
Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
Head & Face Medicine
Indocyanine green lymphography
Microcystic lymphatic malformation
Tongue
Children
title Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
title_full Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
title_fullStr Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
title_full_unstemmed Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
title_short Application value of indocyanine green lymphography in the management of stage I/IIA microcystic lymphatic malformation of the tongue
title_sort application value of indocyanine green lymphography in the management of stage i iia microcystic lymphatic malformation of the tongue
topic Indocyanine green lymphography
Microcystic lymphatic malformation
Tongue
Children
url https://doi.org/10.1186/s13005-025-00529-2
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