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SUMMARY Retropharyngeal lymphatic malformations (LMs) are exceedingly rare and have rarely been reported in the literature. This condition can be life threatening, and its management is particularly challenging. Over a two-year period, two patients who presented with symptomatic (dyspnoea, snoring) retropharyngeal LMs were treated in our hospital. Both patients were treated using radiofrequency ablation of LMs through a trans-oral approach and bleomycin sclerotherapy as adjunctive treatment. No major complications occurred following surgery. During follow-up, no recurrence was noted, and both patients were asymptomatic. Our result and the review of the literature suggests that radiofrequency ablation combined with bleomycin sclerotherapy can be a safe and effective treatment.

Retropharyngeal lymphatic malformations: report of two successfully treated cases and review of the literature