Surgical excision is the most accepted treatment. Other mentioned modes of therapy include aspiration, incision and drainage, injection of sclerosing agents and radiotherapy. Considering their multicystic structure, it is unlikely that aspiration or sclerosing agents can be efficient. Aspiration or drainage are usually temporary procedures. There is also the risk of secondary infection and this mode of treatment should be reserved for life saving emergencies.
Laser is very valuable in the treatment of superficial tongue and laryngeal lesions.
Our experience is that every effort for a complete eradication of the disease should be made at the time of the first operation. The use of a microbipolar dissection technique allows for a more complete excision with preservation of vital structures. Laser is employed as necessary. With this approach we have minimized the need for neonatal tracheotomy or gastric tube feeding. We do not advocate the use of any type of sclerosing agent presently available, including OK-432 .