Sclerotherapy of Intraoral Superficial Hemangioma

Abstract

Hemangioma is the clinical term for a benign vascular neoplasm due to proliferation of the endothelial lining of blood vessels. Their most frequent location is the body skin and oral mucosa. One of the treatment modalities for hemangiomas is intralesional injection of sclerosing agents which cause the damage of blood vessels followed by their obliteration. The objective of the study was to describe the facility of application and evaluate the efficiency of sclerotherapy with aethoxysklerol 1%. Method. The case presented with intraoral submucosal hemangioma of the cheek was treated by intralesional injection of aethoxysklerol 3% diluted in water for injections at a 4 : 1 ratio (0.75%) at the first appointment and 3 : 1 (1%) at the second appointment. The effect of sclerotherapy was evaluated on the following visits in time intervals of two weeks. Results. The hemangioma disappeared without complications after the second injection of aethoxysklerol 1%. The successful results of the study were comparable to the data of literature with variations according to the used sclerosant agent, its concentration, the number of injections, and the intervals between each session. Conclusion. Since sclerotherapy is a very effective, inexpensive, and easy-to-apply treatment, it should be the treatment of choice, especially for intraoral superficial hemangiomas.

Fotobiomodulação associada à escleroterapia no tratamento de hemangioma em palato duro

“…Color can vary from red to purple, margins are well-defined, consistency may be elastic or fibrous, and the surface may be smooth or irregular. 3 , 12 , 14 Size varies from millimeters to centimeters. 3 They exhibit progressive growth and are prone to unexpected and difficult to control bleeding, in response to traumatism of the lesion site.…”

“…Os aspectos clínicos da lesão se manifestam de acordo com sua profundidade e localização. A coloração pode variar do vermelho ao roxo, as bordas são definidas, a consistência pode ser elástica ou fibrosa, com superfície lisa ou irregular 3 , 12 , 14 . O tamanho é variável de milímetros a centímetros 3 .…”

Sclerotherapy Using Polidocanol: A Conservative Treatment Option for Intra Oral Haemangioma of Buccal Mucosa.

“…Chemical irritants: include the corrosives, which act by a cauterizing action and those which injure cells by a heavy metal effect & these are Chromated glycerin, polyiodinated iodide. (3,9) Alternative treatment choice available for oral hemangioma is laser therapy mainly relied on the Dr. Shrey Srivastava et al…”

“…Where as definite diagnosis of vascular malformations or suspected hemangioma can be done using digital compression and diascopy. (8,9) The gold standard for hemangioma treatment, especially for smaller circumscribed lesions and peripheral hemangiomas, is conventional surgical excision. Surgical excision of hemangiomas in the oral cavity and lips can be extremely traumatic and the bleeding can be difficult to control.…”

Role of Polidocanol as Sclerosant in Treatment of Hemangiomas of Head and Neck Region

“…12 The surgical treatment has its own risks and advantages, similar to other treatment modalities. 13 Advantage of surgical treatment is that, it allows for a complete surgical excision of the lesion and microscopical diagnosis but with the risks of excessive bleeding, functional impairment of vital functions such as swallowing, speech and airway. 13 Recurrences are fairly common if complete excision is not done and hence the need for non surgical modalities.…”