Retrospective analysis of facial paralysis caused by ethanol sclerotherapy for facial venous malformation

Abstract

The zygomatic and temporal branches of the facial nerve were the most vulnerable to injury after ethanol sclerotherapy. Surgeons are thus called on to pay more attention when performing ethanol sclerotherapy in those areas.

Direct intralesional ethanol sclerotherapy of extensive venous malformations with oropharyngeal involvement after a temporary tracheotomy in the head and neck: Initial results

“…Of those who were hydrated after hemoglobinuria, no patient suffered from renal impairment. Although 3 cases of facial paralyzes after ethanol sclerotherapy occurred in our sample (all 3 were transient), it is important to highlight the need for caution when performing ethanol instillation in the zygomatic, temporal, buccal, and parotid areas …”

“…Although 3 cases of facial paralyzes after ethanol sclerotherapy occurred in our sample (all 3 were transient), it is important to highlight the need for caution when performing ethanol instillation in the zygomatic, temporal, buccal, and parotid areas. 24 This study had several limitations. First, we did not include a large number of patients and these were part of a retrospective data analysis.…”

Preoperative Facial Nerve Mapping to Plan and Guide Pediatric Facial Vascular Anomaly Resection

“…10 Articles cited in the Introduction herein have generally reported that the risk of facial nerve injury is 5% to 10% for treatment of vascular anomaly in the cervicofacial region. [1][2][3][4] The reason for dramatically improved facial nerve outcomes is in part explained by the FNM but also because the FNM enables (1) improved planning for an approach that has potentially less collateral tissue damage and (2) focused concentration by the surgeon, with confidence in the intraoperative interrogations of the nerve, as reported by the neurophysiologist.…”

Management of Venous Malformations

“…Vigilant planning and injection are recommended to reduce this risk, with particular attention with VM in the head and neck. 57 Glue boluses remain inert for most patients, but may rarely become infected and require antibiotics. Allergy to nBCA is rare, but may produce severe pruritus.…”