Large Cystic Lymphangiomas of the Neck: A Surgical Challenge

Cystic hygromas are congenital lymphatic malformations frequently involving the head and neck. Surgical excision remains the mainstay of treatment for large lesions, though it poses technical challenges due to proximity to vital neurovascular structures. With meticulous dissection, complications can be minimized. Sclerotherapy is effective for smaller lesions but is less suitable for extensive disease. Recurrence is uncommon following complete surgical excision.