Sclerotherapy as an esthetic indication in oral vascular malformations: a case series

Abstract

BackgroundThe use of monoethanolamine oleate 5% is effective for the treatment of vascular malformations with low blood flow.ObjectivesTo report a case series of vascular malformations in the mouth and oral cavity treated with monoethanolamine oleate 5%.MethodsA retrospective descriptive study was performed in electronic patient charts covering seven years. Patient demographics, diagnostic resources, lesion site, size, and number of applications of monoethanolamine oleate 5% were collected.ResultsA total of 21 vascular malformations were recorded, located mostly on the lower lip (52.3%) and resolved in a single application in 14 patients. The authors found 19 patients treated with sclerotherapy. Thirteen were women and six were men, with a mean age of 61 years.Study limitationSmall sample size.ConclusionsSclerotherapy is an effective treatment for vascular malformations of the lips and oral cavity, with resolution after only one or two applications (n = 16).

Diferentes tipos e protocolos de esclerosantes vasculares no tratamento das má formações vasculares orais: revisão literária

“…As malformações vasculares são lesões benignas dos vasos sanguíneos originadas por um erro na morfogênese vascular durante a fase embriológica 15 , causados principalmente pela disfunção na regulação das vias da embriogênese e vasculogênese. São lesões do sistema sanguíneo ou linfático que podem afetar qualquer parte do corpo, sendo mais comuns na região de cabeça e pescoço 16 e correspondendo a 40% dos casos 17 . Ao contrário dos hemangiomas, as malformações vasculares aumentam proporcionalmente com o crescimento da criança e não sofrem involução espontânea.…”

Management of head and neck hemangiomas and venous malformations by bleomycin sclerotherapy

“…The local injection of a sclerosing substance inside a hemangioma or venous malformation determines the onset of inflammatory changes and detachment of endothelial cells that eventually determine vessel thrombosis and occlusion, sclerosis and involution of the lesion (9)(10)(11). Considering the depth of the lesion, the injections can be performed by imaging guidance, including fluoroscopic or ultrasound examination (2,3).…”

Intralesional 3% sodium tetradecyl sulphate versus hot water in oral cavity hemangioma: a comparative study

“…4,5 Sclerotherapy is the substitution of vascular component by a fibrotic tissue in response to an inflammatory process. 6 It is a viable option owing to its safety, ease of administration, acceptable aesthetic and functional outcomes. 7 It counters the proliferative growth, reduces the volume of hemangioma and initializes the process of regression.…”