Treatment of Digital Mucous Cysts With Intralesional Sodium Tetradecyl Sulfate Injection

Park, So Eun; Park, Eun Joo; Kim, Sang Seok; Kim, Chul Woo

doi:10.1097/dss.0000000000000135

Cited by 22 publications

(18 citation statements)

References 9 publications

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“…18) STS may also extravasate into the surrounding tissues, leading to tissue necrosis and skin ulceration. 10) Therefore, it is important to maintain the correct needle position when changing the syringe after aspirating the bursal sac and while injecting STS. Potentially fatal complications include anaphylaxis and thrombotic events.…”

Section: Discussionmentioning

confidence: 99%

“… 7) STS is commonly used to treat small varicose veins of the leg, reticular veins, and venous or lymphatic malformations, although intracystic STS injection has also been used for many cystic diseases, including pyogenic granulomas, cherry angiomas, digital mucous cysts, glomangiomas, pseudocysts of the auricle, and ganglion cysts. 6 7 8 9 10 11) The purpose of this study was to evaluate the clinical outcomes and safety of STS sclerotherapy for lateral malleolar bursitis.…”

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confidence: 99%

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Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle

et al. 2022

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Background The aim of this study was to evaluate clinical outcomes of sodium tetradecyl sulphate (STS) sclerotherapy for conservative treatment of lateral malleolar bursitis of the ankle. Methods We reviewed data from 20 consecutive patients (20 ankles) who underwent STS sclerotherapy between August 2018 and June 2019. After aspiration of fluid from the lateral malleolar bursal sac, 2 mL (20 mg) STS was injected into the sac. Clinical outcomes and side effects and complications were evaluated at 2 weeks, 3 months, 1 year, and 2 years after sclerotherapy. Responses to treatment were assessed according to degree of fluctuation, shrinkage of the bursal sac, and soft-tissue swelling. The 36-item short form survey (SF-36) was completed for each patient before and after therapy. Results Complete response was observed in 17 patients (85%), and partial response was observed in 3 patients (15%) after STS sclerotherapy. SF-36 physical component scores improved from 62.2 (interquartile range, 5.2) before therapy to 70.0 (interquartile range, 7.9) at last follow-up ( p < 0.05). One patient (5%) experienced transient hyperpigmentation at the injection site. No major complications occurred. Conclusions STS sclerotherapy was an effective and safe treatment for patients with lateral malleolar bursitis of the ankle.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle

et al. 2022

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“…Cure rate was 77%, which was statistically inferior to that of surgery ( P < 0.001). The injected sclerotic agents were: polidocanol, sodium tetradecyl sulfate, and OK432 (lyophilized strep pyogenes) . In four of the five studies, treatment had to be repeated at fixed intervals to ensure cyst removal .…”

Section: Discussionmentioning

confidence: 99%

Management of digital mucous cysts: a systematic review and treatment algorithm

et al. 2017

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Digital mucous cysts (DMC) are benign, highly recurrent lesions of the digits. To date, there is still no treatment agreement on the treatment of DMC. Herein, we review available data on treatment modalities, including both surgical and nonsurgical techniques, and to provide a practical algorithm for the management of DMC. A systematic review was conducted using MEDLINE, EMBASE, and Cochrane databases. Articles studying the management of DMC were included in this review. A total of 40 articles were included in the review. The five most frequently used treatments for DMC were surgery (n = 849), expression of cyst content (n = 132), sclerotherapy (n = 119), corticosteroid injection (n = 108), and cryotherapy (n = 103). Surgery yielded the highest cure rate among all treatment modalities (95%) compared to sclerotherapy (77%), cryotherapy (72%), corticosteroid injection (61%), and expression of cyst content (39%) (P < 0.001). Surgery should be considered as the first-line treatment for DMC. Second-line treatments include sclerotherapy and cryotherapy. Third-line treatments include corticosteroid injections, expression of cyst content, and less-studied modalities. Surgery showed the highest cure rates. Future adequately designed randomized controlled trials are warranted to compare different treatment modalities.

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“…11 As with pigmented lesions on the skin, when in doubt, excisional biopsy (in the authors' opinion, best performed through a tangential [shave] matrix removal), is ideal to avoid sampling error. 17,18 Whereas other specialists may routinely use conscious sedation or general anesthesia for nail procedures, most dermatologists perform nail surgery with local anesthesia-this is a great service to their patients with other comorbidities, and a source of system-wide practice efficiency. This extends to squamoproliferative lesions of the nails as well.…”

Section: Nailing It: Promoting Nail Procedural Training In Residency mentioning

confidence: 99%

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Jellinek

2015

Dermatologic Surgery

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Treatment of Digital Mucous Cysts With Intralesional Sodium Tetradecyl Sulfate Injection

Cited by 22 publications

References 9 publications

Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle

Sodium Tetradecyl Sulphate Sclerotherapy for Lateral Malleolar Bursitis of the Ankle

Management of digital mucous cysts: a systematic review and treatment algorithm

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