{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:01:03Z","timestamp":1773295263991,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T00:00:00Z","timestamp":1663545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015739","name":"Bayer Vital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015739","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011699","name":"Siemens Healthineers","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011699","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Idiopathic recurrent cervical swelling may be caused by lymphatic abnormalities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Ten patients (9 females, mean age 51.2\u00a0\u00b1\u20097) with idiopathic recurrent cervical swelling underwent MR\u2010lymphangiography (MRL). MR\u2010lymphangiograms were evaluated regarding lymphatic anatomy and flow. Individualized treatment was recommended according to MRL\u2010findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>8\/10 patients presented with left\u2010sided, 2\/10 with right\u2010sided swelling. Pathological lymph\u2010flow was identified in all cases: thoracic duct dilatation in patients with left\u2010sided and right lymphatic duct dilatation in right\u2010sided swelling, accessory thoracic lymphatics in 7\/10 and reflux in 8\/10 cases. In two cases, a lymphatic thrombus was identified.<\/jats:p><jats:p>After treatment, symptoms resolved completely in 6\/10 cases and partially in 1\/10 cases. The remaining three patients have intermittent swellings but have no treatment wish.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Idiopathic recurrent cervical swelling can be caused by lymphatic anomalies. MRL displays impaired lymphatic drainage, lymphatic vessel dilatation, and chylolymphatic reflux as hallmarks of this condition and may aid in targeted treatment planning.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.919","type":"journal-article","created":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T11:03:08Z","timestamp":1663585388000},"page":"1456-1464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["<scp>MR<\/scp>\u2010lymphangiography identifies lymphatic pathologies in patients with idiopathic recurrent cervical swelling"],"prefix":"10.1002","volume":"7","author":[{"given":"Marius","family":"Vach","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology University Hospital Bonn  Bonn Germany"},{"name":"Center for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD)  Bonn 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